Widening the treatment of shallow intracranial aneurysms with intrasaccular flow disruption: The flat WEB experience.

IF 0.8 Q4 NEUROIMAGING

Neuroradiology Journal Pub Date : 2025-08-26 DOI:10.1177/19714009251373065

Federico Sabuzi, Nicola Cavasin, Mariafrancesca Trulli, Simone Di Candia, Michelangelo Digregorio, Francesco Garaci, Valerio Da Ros

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引用次数: 0

Abstract

The Woven EndoBridge (WEB) device's effectiveness and safety have been thoroughly assessed in several clinical practice trials. The availability of new WEB sizes expanded the indications for the endovascular treatment of intracranial wide-necked aneurysms. We retrospectively analysed data from all patients with intracranial aneurysms treated with a 6 × 2 or 7 × 2 WEB in two institutions; endovascular embolization was performed both in unruptured and ruptured aneurysms. Seven patients with 7 wide-necked aneurysms were included; one aneurysm was ruptured. All aneurysms involved the anterior circulation. Technical success of embolization performed with flat WEB devices was accomplished and no intraprocedural complications occurred. At 3 months follow-up, adequate occlusion was obtained for six treated aneurysms. With the availability of new WEB sizes, broad-based aneurysms with unfavourable height and aspect ratio are suitable for embolization using intrasaccular flow disruption in our preliminary experience; larger series are needed to confirm their long-term efficacy.

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伴有囊内血流中断的浅颅内动脉瘤的加宽治疗：平面WEB经验。

编织EndoBridge （WEB）装置的有效性和安全性已经在几个临床实践试验中进行了全面评估。新尺寸的可用性扩大了血管内治疗颅内宽颈动脉瘤的适应症。我们回顾性分析了两所医院接受6 × 2或7 × 2 WEB治疗的所有颅内动脉瘤患者的数据；未破裂动脉瘤和破裂动脉瘤均行血管内栓塞术。纳入7例7个宽颈动脉瘤；一个动脉瘤破裂。所有动脉瘤都累及前循环。使用扁平WEB装置进行栓塞的技术成功，无术中并发症发生。在3个月的随访中，6个治疗过的动脉瘤获得了充分的闭塞。根据我们的初步经验，随着新的WEB尺寸的可用性，具有不利高度和宽高比的广泛性动脉瘤适合使用囊内血流阻断栓塞；需要更大规模的试验来证实其长期疗效。

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来源期刊

Neuroradiology Journal NEUROIMAGING-

CiteScore

2.50

自引率

0.00%

发文量

101

期刊介绍： NRJ - The Neuroradiology Journal (formerly Rivista di Neuroradiologia) is the official journal of the Italian Association of Neuroradiology and of the several Scientific Societies from all over the world. Founded in 1988 as Rivista di Neuroradiologia, of June 2006 evolved in NRJ - The Neuroradiology Journal. It is published bimonthly.