Amuluru Krishna, Al-Mufti Fawaz, Sahlein Daniel H, Scott John, Denardo Andrew
Division of Interventional Neuroradiology, Goodman Campbell Brain and Spine, Ascension St. Vincent Medical Center, Indianapolis, IN, USA.
Department of Endovascular Neurosurgery and Neurocritical Care, Westchester Medical Center, Valhalla, NY, USA.
Neurointervention. 2021 Nov;16(3):275-279. doi: 10.5469/neuroint.2021.00318. Epub 2021 Oct 12.
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.
编织型血管内桥接装置（WEB）是一种用于治疗宽颈囊状脑动脉瘤的瘤内血流阻断装置。与任何神经血管内装置一样，必须迅速且安全地处理以位置不当和移位形式出现的并发症。很少有研究报道在WEB装置脱位或移位情况下的并发症处理技术。我们回顾性描述了一例位置不当的WEB装置通过使用鹅颈圈套器成功调整的病例。我们考虑了多种用于处理WEB位置不当和移位的其他术中补救策略，并在此进行讨论。操作者应了解WEB位置不当的原因及各种补救策略。
