How to WEB: a practical review of methodology for the use of the Woven EndoBridge

Wide-necked bifurcation aneurysms (WNBAs) make up 26–36% of all brain aneurysms. Treatments for WNBAs pose unique challenges due to the need to preserve major bifurcation vessels while achieving a durable occlusion of the aneurysm. Intrasaccular flow disruption is an innovative technique for the tre...

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Autores principales: Goyal, Nitin, Hoit, Daniel, DiNitto, Julie, Elijovich, Lucas, Fiorella, David, Pierot, Laurent, Lamin, Saleh, Spelle, Laurent, Saatci, Isil, Cekirge, Saru, Arthur, Adam S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
Materias:
New Devices and Techniques
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231463/
https://www.ncbi.nlm.nih.gov/pubmed/32005760
http://dx.doi.org/10.1136/neurintsurg-2019-015506
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author Goyal, Nitin
Hoit, Daniel
DiNitto, Julie
Elijovich, Lucas
Fiorella, David
Pierot, Laurent
Lamin, Saleh
Spelle, Laurent
Saatci, Isil
Cekirge, Saru
Arthur, Adam S
author_facet Goyal, Nitin
Hoit, Daniel
DiNitto, Julie
Elijovich, Lucas
Fiorella, David
Pierot, Laurent
Lamin, Saleh
Spelle, Laurent
Saatci, Isil
Cekirge, Saru
Arthur, Adam S
author_sort Goyal, Nitin
collection PubMed
description Wide-necked bifurcation aneurysms (WNBAs) make up 26–36% of all brain aneurysms. Treatments for WNBAs pose unique challenges due to the need to preserve major bifurcation vessels while achieving a durable occlusion of the aneurysm. Intrasaccular flow disruption is an innovative technique for the treatment of WNBAs. The Woven EndoBridge (WEB) device is the only United States Food and Drug Administration approved intrasaccular flow disruption device. In this review article we discuss various aspects of treating WNBAs with the WEB device, including indications for use, aneurysm/device selection strategies, antiplatelet therapy requirement, procedural technique, potential complications and bailouts, and management strategies for residual/recurrent aneurysms after initial WEB treatment.
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spelling pubmed-72314632020-05-18 How to WEB: a practical review of methodology for the use of the Woven EndoBridge Goyal, Nitin Hoit, Daniel DiNitto, Julie Elijovich, Lucas Fiorella, David Pierot, Laurent Lamin, Saleh Spelle, Laurent Saatci, Isil Cekirge, Saru Arthur, Adam S J Neurointerv Surg New Devices and Techniques Wide-necked bifurcation aneurysms (WNBAs) make up 26–36% of all brain aneurysms. Treatments for WNBAs pose unique challenges due to the need to preserve major bifurcation vessels while achieving a durable occlusion of the aneurysm. Intrasaccular flow disruption is an innovative technique for the treatment of WNBAs. The Woven EndoBridge (WEB) device is the only United States Food and Drug Administration approved intrasaccular flow disruption device. In this review article we discuss various aspects of treating WNBAs with the WEB device, including indications for use, aneurysm/device selection strategies, antiplatelet therapy requirement, procedural technique, potential complications and bailouts, and management strategies for residual/recurrent aneurysms after initial WEB treatment. BMJ Publishing Group 2020-05 2020-01-31 /pmc/articles/PMC7231463/ /pubmed/32005760 http://dx.doi.org/10.1136/neurintsurg-2019-015506 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle New Devices and Techniques
Goyal, Nitin
Hoit, Daniel
DiNitto, Julie
Elijovich, Lucas
Fiorella, David
Pierot, Laurent
Lamin, Saleh
Spelle, Laurent
Saatci, Isil
Cekirge, Saru
Arthur, Adam S
How to WEB: a practical review of methodology for the use of the Woven EndoBridge
title How to WEB: a practical review of methodology for the use of the Woven EndoBridge
title_full How to WEB: a practical review of methodology for the use of the Woven EndoBridge
title_fullStr How to WEB: a practical review of methodology for the use of the Woven EndoBridge
title_full_unstemmed How to WEB: a practical review of methodology for the use of the Woven EndoBridge
title_short How to WEB: a practical review of methodology for the use of the Woven EndoBridge
title_sort how to web: a practical review of methodology for the use of the woven endobridge
topic New Devices and Techniques
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231463/
https://www.ncbi.nlm.nih.gov/pubmed/32005760
http://dx.doi.org/10.1136/neurintsurg-2019-015506
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