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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleNeurointervention
Open Access

WEB Treatment of Ruptured Intracranial Aneurysms

W.J. van Rooij, J.P. Peluso, R.S. Bechan and M. Sluzewski
American Journal of Neuroradiology September 2016, 37 (9) 1679-1683; DOI: https://doi.org/10.3174/ajnr.A4811
W.J. van Rooij
aFrom the Department of Radiology, Sint Elisabeth Ziekenhuis, Tilburg, the Netherlands.
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J.P. Peluso
aFrom the Department of Radiology, Sint Elisabeth Ziekenhuis, Tilburg, the Netherlands.
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R.S. Bechan
aFrom the Department of Radiology, Sint Elisabeth Ziekenhuis, Tilburg, the Netherlands.
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M. Sluzewski
aFrom the Department of Radiology, Sint Elisabeth Ziekenhuis, Tilburg, the Netherlands.
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    Fig 1.

    Flow chart of all treated patients with aneurysms between February and December 2015. PVO indicates parent vessel occlusion.

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    Fig 2.

    A 61-year-old man with a ruptured basilar tip aneurysm treated with the WEB and coils. A, CT scan with subarachnoid blood. B, 3D angiogram reveals a 13-mm basilar tip aneurysm. C, Neck measurement on a 3D angiogram. D and E, After placement of coils in the dome and a WEB-SL, 6 × 3 mm, in the neck. F, Three-month follow-up angiogram with complete occlusion.

  • Fig 3.
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    Fig 3.

    A 57-year-old woman with a ruptured anterior communicating artery aneurysm. A, 3D angiogram shows a small anterior communicating artery aneurysm. Note the spasm in the left A1. B, Measurement of the height (3.9 mm) and neck width (2.3 mm). C, Angiogram directly after placement of a 4-mm WEB-SLS. Note some opacification inside the WEB. D, Angiogram at 3 months demonstrates complete occlusion of the aneurysm.

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    Fig 4.

    A 42-year-old man with a ruptured anterior communicating artery aneurysm. A, 3D angiogram shows a small anterior communicating artery aneurysm with a bleb pointing upward. Angiogram before (B) and after (C) placement of a 4-mm WEB-SLS inside the aneurysm. Note complete aneurysm occlusion with slight protrusion of the WEB into the parent vessel (arrow). D, Angiogram at 3 months demonstrates persistent complete occlusion.

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    Fig 5.

    A 60-year-old woman with a ruptured small-neck posterior communicating artery aneurysm. A, CT scan shows subarachnoid hemorrhage. B, 3D angiogram reveals a 6-mm posterior communicating artery aneurysm with a small neck. Angiogram before (C) and after (D and E) placement of a 6-mm WEB-SLS shows complete aneurysm occlusion.

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American Journal of Neuroradiology: 37 (9)
American Journal of Neuroradiology
Vol. 37, Issue 9
1 Sep 2016
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Cite this article
W.J. van Rooij, J.P. Peluso, R.S. Bechan, M. Sluzewski
WEB Treatment of Ruptured Intracranial Aneurysms
American Journal of Neuroradiology Sep 2016, 37 (9) 1679-1683; DOI: 10.3174/ajnr.A4811

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WEB Treatment of Ruptured Intracranial Aneurysms
W.J. van Rooij, J.P. Peluso, R.S. Bechan, M. Sluzewski
American Journal of Neuroradiology Sep 2016, 37 (9) 1679-1683; DOI: 10.3174/ajnr.A4811
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  • Safety and efficacy of aneurysm treatment with WEB in the cumulative population of three prospective, multicenter series
  • Endovascular treatment of intracranial aneurysms with the Woven EndoBridge device: mid term and long term results
  • Two-Center Experience in the Endovascular Treatment of Ruptured and Unruptured Intracranial Aneurysms Using the WEB Device: A Retrospective Analysis
  • WEB Treatment of Ruptured Intracranial Aneurysms: A Single-Center Cohort of 100 Patients
  • WEB Device: Ready for Ruptured Aneurysms?
  • Safety and Efficacy of Aneurysm Treatment with the WEB: Results of the WEBCAST 2 Study
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