Adjustment of Malpositioned Woven EndoBridge Device Using Gooseneck Snare: Complication Management Technique

The Woven EndoBridge (WEB) is an intrasaccular flow-disrupting device for the treatment of wide-necked saccular cerebral aneurysms. As with any neuroendovascular device, complications in the form of malpositioning and migration must be managed quickly and safely. Few studies have reported complicati...

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Autores principales: Amuluru, Krishna, Al-Mufti, Fawaz, Sahlein, Daniel H., Scott, John, Denardo, Andrew
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Interventional Neuroradiology 2021
Materias:
Technical Note
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8561038/
https://www.ncbi.nlm.nih.gov/pubmed/34634856
http://dx.doi.org/10.5469/neuroint.2021.00318
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author Amuluru, Krishna
Al-Mufti, Fawaz
Sahlein, Daniel H.
Scott, John
Denardo, Andrew
author_facet Amuluru, Krishna
Al-Mufti, Fawaz
Sahlein, Daniel H.
Scott, John
Denardo, Andrew
author_sort Amuluru, Krishna
collection PubMed
description The Woven EndoBridge (WEB) is an intrasaccular flow-disrupting device for the treatment of wide-necked saccular cerebral aneurysms. As with any neuroendovascular device, complications in the form of malpositioning and migration must be managed quickly and safely. Few studies have reported complication management techniques in instances of dislocated or migrated WEB devices. We retrospectively describe a case of a malpositioned WEB device that was successfully adjusted with the use of a gooseneck snare. Multiple other intra-procedural bailout strategies for management of WEB malposition and migration were considered, and are herein discussed. Operators should be aware of the causes of WEB malposition and a variety of bailout strategies.
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spelling pubmed-85610382021-11-12 Adjustment of Malpositioned Woven EndoBridge Device Using Gooseneck Snare: Complication Management Technique Amuluru, Krishna Al-Mufti, Fawaz Sahlein, Daniel H. Scott, John Denardo, Andrew Neurointervention Technical Note The Woven EndoBridge (WEB) is an intrasaccular flow-disrupting device for the treatment of wide-necked saccular cerebral aneurysms. As with any neuroendovascular device, complications in the form of malpositioning and migration must be managed quickly and safely. Few studies have reported complication management techniques in instances of dislocated or migrated WEB devices. We retrospectively describe a case of a malpositioned WEB device that was successfully adjusted with the use of a gooseneck snare. Multiple other intra-procedural bailout strategies for management of WEB malposition and migration were considered, and are herein discussed. Operators should be aware of the causes of WEB malposition and a variety of bailout strategies. Korean Society of Interventional Neuroradiology 2021-11 2021-10-12 /pmc/articles/PMC8561038/ /pubmed/34634856 http://dx.doi.org/10.5469/neuroint.2021.00318 Text en Copyright © 2021 Korean Society of Interventional Neuroradiology https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Technical Note
Amuluru, Krishna
Al-Mufti, Fawaz
Sahlein, Daniel H.
Scott, John
Denardo, Andrew
Adjustment of Malpositioned Woven EndoBridge Device Using Gooseneck Snare: Complication Management Technique
title Adjustment of Malpositioned Woven EndoBridge Device Using Gooseneck Snare: Complication Management Technique
title_full Adjustment of Malpositioned Woven EndoBridge Device Using Gooseneck Snare: Complication Management Technique
title_fullStr Adjustment of Malpositioned Woven EndoBridge Device Using Gooseneck Snare: Complication Management Technique
title_full_unstemmed Adjustment of Malpositioned Woven EndoBridge Device Using Gooseneck Snare: Complication Management Technique
title_short Adjustment of Malpositioned Woven EndoBridge Device Using Gooseneck Snare: Complication Management Technique
title_sort adjustment of malpositioned woven endobridge device using gooseneck snare: complication management technique
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8561038/
https://www.ncbi.nlm.nih.gov/pubmed/34634856
http://dx.doi.org/10.5469/neuroint.2021.00318
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