title: WEB in Partially Thrombosed Intracranial Aneurysms: A Word of Caution.
abstract: Despite the proved safety and efficacy of Woven EndoBridge (WEB) flow disruption in conventional intracranial saccular aneurysms, the literature on its use in partially thrombosed intracranial aneurysms is scarce. We report a series of 4 patients in whom partially thrombosed intracranial aneurysms were treated with the WEB. The 2 patients who received additional intraluminal treatment with conventional stents made a good clinical recovery. Meanwhile, those patients who were treated with the WEB alone had fatal rupture of the aneurysm at short- to medium-term follow-up. This small, select case series demonstrates that WEB placement with adjunctive stent placement may be an effective treatment in the management of partially thrombosed intracranial aneurysms, which merits further validation. However, exclusive intrasaccular flow disruption may have an adverse influence on the natural history of this disease.
authors.affiliation: From the Departments of Neuroradiology (G.A., A.J.P.G., T.P.) Department of Diagnostic Imaging (G.A.), National University Hospital, Singapore. ivyanil10@gmail.com.
authors.forename: G
authors.identifier: 0000-0002-8192-1287
authors.initials: G
authors.lastname: Anil
authors.affiliation: From the Departments of Neuroradiology (G.A., A.J.P.G., T.P.).
authors.forename: A J P
authors.identifier: 0000-0001-6104-5606
authors.initials: AJ
authors.lastname: Goddard
authors.affiliation: Neurosurgery (S.M.R., K.D.), Leeds Teaching Hospitals, National Health Service Trust, Leeds, UK.
authors.forename: S M
authors.identifier: 0000-0002-8006-3137
authors.initials: SM
authors.lastname: Ross
authors.affiliation: Neurosurgery (S.M.R., K.D.), Leeds Teaching Hospitals, National Health Service Trust, Leeds, UK.
authors.forename: K
authors.identifier: 0000-0003-4612-2401
authors.initials: K
authors.lastname: Deniz
authors.affiliation: From the Departments of Neuroradiology (G.A., A.J.P.G., T.P.).
authors.forename: T
authors.identifier: 0000-0003-3460-1528
authors.initials: T
authors.lastname: Patankar
mesh_terms: D057510:Endovascular Procedures / Q000295:instrumentation*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000473:pathology* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D015607:Stents / Q000009:adverse effects; D013927:Thrombosis / Q000209:etiology / Q000601:surgery; D016896:Treatment Outcome