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Treatment of Wide-Neck Bifurcation Aneurysm Using 'WEB Device Waffle Cone Technique'
- Source :
- World Neurosurgery, World Neurosurgery, Elsevier, 2018, 113 (5), pp.73-77. ⟨10.1016/j.wneu.2018.02.020⟩
- Publication Year :
- 2018
- Publisher :
- Elsevier BV, 2018.
-
Abstract
- Background The endovascular treatment of wide-neck bifurcation aneurysms can be challenging and often requires the use of adjunctive techniques and devices. Methods We report our first experience of using a waffle-cone technique adapted to the Woven Endoluminal Bridge (WEB) device in a large-neck basilar tip aneurysm, suitable in cases where the use of Y stenting or other techniques is limited due to anatomic restrictions. Results The procedure was complete, and angiographic occlusion of the aneurysm was achieved 24 hours post treatment, as confirmed by digital subtraction angiography. No complications occurred. Conclusions The case reported here was not suitable for Y stenting or deployment of the WEB device alone, due to the small caliber of both posterior cerebral arteries and their origin at the neck level. The main advantage of this technique is that both devices have a controlled detachment system and are fully independent. To our knowledge, this technique has not been reported previously and this modality of treatment has never been described in the literature.
- Subjects :
- Adult
Male
medicine.medical_specialty
030218 nuclear medicine & medical imaging
03 medical and health sciences
0302 clinical medicine
Aneurysm
Occlusion
medicine
Humans
Small caliber
cardiovascular diseases
Endovascular treatment
ComputingMilieux_MISCELLANEOUS
Bifurcation
Wide neck
medicine.diagnostic_test
business.industry
Endovascular Procedures
Angiography, Digital Subtraction
Intracranial Aneurysm
Digital subtraction angiography
medicine.disease
Cerebral Angiography
Treatment Outcome
Stents
[SDV.NEU]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]
Surgery
Neurology (clinical)
Radiology
business
030217 neurology & neurosurgery
Cerebral angiography
Subjects
Details
- ISSN :
- 18788750
- Volume :
- 113
- Database :
- OpenAIRE
- Journal :
- World Neurosurgery
- Accession number :
- edsair.doi.dedup.....e8c0e29359bc5516919588dcd53c655e