Hasebe Akiko, Nakahara Ichiro, Tanabe Jun, Haraguchi Kenichi, Kato Yoko
Department of Neurosurgery, Fujita Health University Bantane Hospital, Nagoya, Japan.
Neurointervention. 2025 Jul;20(2):94-98. doi: 10.5469/neuroint.2025.00318. Epub 2025 Jun 2.
A 44-year-old female experienced a recurrence and enlargement of a basilar top aneurysm 2 years after initial treatment with a Woven EndoBridge (WEB) device. Retreatment using a new WEB device combined with a flow diverter (FD) via a semi-jail technique successfully obliterated the aneurysm without complications. Follow-up imaging at 4 months showed complete occlusion and favorable outcomes. This case suggests that combining WEB and FD may offer effective retreatment for complex, recurrent aneurysms, enhancing coverage and durability. Despite its technical challenges, this approach shows promise, though further long-term studies are needed to confirm its safety and wider applicability.
一名44岁女性在初次使用编织型血管内桥接器（WEB）装置治疗2年后，基底动脉尖动脉瘤复发并增大。通过半牢笼技术使用新型WEB装置联合血流导向装置（FD）进行再次治疗，成功闭塞了动脉瘤且无并发症发生。4个月后的随访影像显示动脉瘤完全闭塞且预后良好。该病例表明，联合使用WEB和FD可为复杂复发性动脉瘤提供有效的再次治疗，提高覆盖范围和耐久性。尽管存在技术挑战，但这种方法显示出了前景，不过还需要进一步的长期研究来证实其安全性和更广泛的适用性。
