Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Department of Neurology and Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
World Neurosurg. 2019 Oct;130:201-205. doi: 10.1016/j.wneu.2019.07.027. Epub 2019 Jul 10.
The Woven EndoBridge (WEB) device, an intrasaccular flow-diverter that does not require long-term antiplatelet use, has recently emerged as an alternative to embolize complex intracranial aneurysms; however, there are limitations to the WEB device. First, it does not immediately secure the aneurysm in most subarachnoid hemorrhage cases. Second, it may not be suitable for embolization of wide-neck aneurysms with an unfavorable aspect ratio. To overcome these limitations, we have used the WEB device in conjunction with stenting and/or coiling. Here, we present a technical note with an illustrated case series and provide a detailed step-by-step description on how the WEB device can be used in adjunct to coiling and/or stenting to achieve successful angiographic results. Accurate sizing of the WEB device before deployment is critical. Larger case series are required to further assess the safety and success of these combined techniques.
编织型腔内血管分流装置（WEB 装置）是一种无需长期抗血小板治疗的血管内分流装置，最近已成为治疗复杂颅内动脉瘤的一种替代方法；然而，WEB 装置也存在一些局限性。首先，在大多数蛛网膜下腔出血病例中，它不能立即封闭动脉瘤。其次，它可能不适合栓塞宽颈、长宽比不利的动脉瘤。为了克服这些局限性，我们已经将 WEB 装置与支架和/或弹簧圈联合使用。在这里，我们提供了一份技术说明，并附有一个病例系列插图，详细描述了如何将 WEB 装置与弹簧圈和/或支架联合使用，以获得成功的血管造影结果。在部署 WEB 装置之前，准确测量其尺寸至关重要。需要更大的病例系列来进一步评估这些联合技术的安全性和成功率。
