Zuo Shu-Juan, Chen Qing-Liang, Ma Ji, Li Teng-Fei, Zhan Peng-Chao, Ding Li-Shan, Zhang Liu-Tong
The First Affiliated Hospital of Henan University of Traditional Chinese Medicine Zhengzhou 450000, Henan, China.
Department of Radioactive Intervention, Henan No. 3 Provincial People's Hospital Zhengzhou 450006, Henan, China.
Am J Transl Res. 2025 Mar 15;17(3):2233-2239. doi: 10.62347/LIKZ9657. eCollection 2025.
Cases of Woven EndoBridge (WEB) combined with coil embolization of ruptured anterior communicating aneurysms are rare. We report a 56-year-old male patient who underwent WEB spoiler device combined with coil embolization for ruptured anterior communicating aneurysms and benefited from it. Considering that the patient's aneurysm had ruptured and immediate hemostasis was urgently needed, a coil was introduced to reduce the patient's bleeding risk, in an effort to achieve immediate hemostasis. Considering that the patient's aneurysm morphology was long and narrow, WEB alone was not enough to completely occlude the aneurysm. The combined use of coils can ensure that the aneurysm neck is properly occluded and the aneurysm head is completely embolized. This article details the preoperative evaluation of the patient's condition, the surgical plan, and the postoperative management. The results of this case confirm the feasibility of WEB combined with coil embolization in patients with ruptured aneurysms.
编织型血管内桥接装置(WEB)联合弹簧圈栓塞破裂前交通动脉瘤的病例罕见。我们报告一例56岁男性患者,其接受了WEB扰流器装置联合弹簧圈栓塞破裂的前交通动脉瘤,并从中获益。考虑到患者的动脉瘤已破裂且急需立即止血,先置入弹簧圈以降低患者出血风险,努力实现即刻止血。考虑到患者动脉瘤形态长且窄,单纯使用WEB不足以完全闭塞动脉瘤。联合使用弹簧圈可确保动脉瘤颈得到妥善闭塞且瘤头完全栓塞。本文详细介绍了患者病情的术前评估、手术方案及术后管理。该病例结果证实了WEB联合弹簧圈栓塞在破裂动脉瘤患者中的可行性。