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

Research ArticleNeurointervention

Persistent Blood Flow inside the Woven EndoBridge Device More Than 6 Months after Intracranial Aneurysm Treatment: Frequency, Mechanisms, and Management—A Retrospective Single-Center Study

H.A. Nguyen, S. Soize, P.-F. Manceau, L. Vudang and L. Pierot
American Journal of Neuroradiology July 2020, 41 (7) 1225-1231; DOI: https://doi.org/10.3174/ajnr.A6593
H.A. Nguyen
aFrom the Department of Radiology (H.A.N., L.V.), Bach Mai Hospital, Hanoi, Vietnam
bDepartment of Neuroradiology (H.A.N., S.S., P.-F.M., L.P.), Hôpital Maison-Blanche, Reims, France.
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S. Soize
bDepartment of Neuroradiology (H.A.N., S.S., P.-F.M., L.P.), Hôpital Maison-Blanche, Reims, France.
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P.-F. Manceau
bDepartment of Neuroradiology (H.A.N., S.S., P.-F.M., L.P.), Hôpital Maison-Blanche, Reims, France.
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L. Vudang
aFrom the Department of Radiology (H.A.N., L.V.), Bach Mai Hospital, Hanoi, Vietnam
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L. Pierot
bDepartment of Neuroradiology (H.A.N., S.S., P.-F.M., L.P.), Hôpital Maison-Blanche, Reims, France.
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Article Figures & Data

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  • FIG 1.
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    FIG 1.

    Different types of contrast-in-WEB phenomenon. Areas with black spots are thrombosed. A, Partial opacification of the WEB without opacification of the neck or aneurysm. B, Partial opacification of the WEB and opacification of the neck (neck remnant). C, Partial opacification of the WEB and aneurysm dome (aneurysm remnant). D, Complete opacification of the WEB without opacification of the neck or aneurysm. E, Complete opacification of the WEB and opacification of the neck (neck remnant). F, Complete opacification of the WEB and opacification of the aneurysm (aneurysm remnant).

  • FIG 2.
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    FIG 2.

    3D (A) and 2D (B) DSA show a basilar artery aneurysm. Nonsubtraction (C) and subtraction (D) images of the first DSA follow-up after 1 year show partial filling of the WEB with contrast. A similar finding is observed at 2 years (E and F). VasoCT in 2 different views (G and H) confirms a partial opacification of the WEB and no opacification of the aneurysm.

  • FIG 3.
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    FIG 3.

    3D (A) and 2D (B) DSA show an anterior communicating artery aneurysm. Nonsubtraction (C) and subtraction (D) images of the first DSA follow-up after 6 months and of the latest DSA follow-up after 4 years (E and F) show complete filling of the WEB with contrast. VasoCT in 2 different views (G and H) shows opacification of the WEB and no opacification of the aneurysm.

  • FIG 4.
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    FIG 4.

    3D (A) and 2D (B) DSA show an MCA aneurysm. Nonsubtraction (C) and subtraction (D) images of the first DSA follow-up after 6 months and of the latest DSA follow-up after 2 years (E and F) show partial opacification of the WEB and the aneurysm sac, confirmed by VasoCT in 2 different views (G and H).

  • FIG 5.
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    FIG 5.

    3D (A) and 2D (B) DSA show an MCA aneurysm. Nonsubtraction (C) and subtraction (D) images of the first DSA follow-up after 6 months and of the latest DSA follow-up after 1 year (E and F) show complete opacification of the WEB and the aneurysm dome, confirmed by VasoCT in 2 different views (G and H).

Tables

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    Table 1:

    Aneurysm characteristics and WEB deployed

    No.LocationSac Width (mm)Sac Height (mm)Neck Width (mm)Dome-to-Neck RatioRuptured StatusaWEB Deployed
    1AcomA6.04.74.51.30SL 7-3
    2BA3.45.03.21.10SL 5-3
    3MCA7.25.95.51.30SL 8-3
    4MCA6.74.06.01.10SL 7-3
    5MCA5.33.94.41.20SL 6-3
    6MCA3.24.53.31.00SL 4.5-3
    7MCA5.25.04.41.20SL 7-3
    8AcomA3.74.13.01.21SL 4.5-2
    • Note:—AcomA indicates anterior communicating artery; BA, basilar artery.

    • ↵a 0, Unruptured; 1, ruptured.

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    Table 2:

    WEB shape modification

    No.Height Postoperation (mm)Height after 6 Months (mm)Height after 1 Year (mm)Height after 2 Years (mm)Height after 3 Years (mm)Height after 4 Years (mm)
    16.25.85.85.95.65.8
    23.6–3.43.6––
    37.87.97.67.7––
    45.55.95.1–––
    55.46.05.8–––
    64.14.24.1–––
    76.06.0––––
    83.73.73.8–––
    • Note:—– indicates no imaging was performed at this date.

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American Journal of Neuroradiology: 41 (7)
American Journal of Neuroradiology
Vol. 41, Issue 7
1 Jul 2020
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H.A. Nguyen, S. Soize, P.-F. Manceau, L. Vudang, L. Pierot
Persistent Blood Flow inside the Woven EndoBridge Device More Than 6 Months after Intracranial Aneurysm Treatment: Frequency, Mechanisms, and Management—A Retrospective Single-Center Study
American Journal of Neuroradiology Jul 2020, 41 (7) 1225-1231; DOI: 10.3174/ajnr.A6593

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Persistent Blood Flow inside the Woven EndoBridge Device More Than 6 Months after Intracranial Aneurysm Treatment: Frequency, Mechanisms, and Management—A Retrospective Single-Center Study
H.A. Nguyen, S. Soize, P.-F. Manceau, L. Vudang, L. Pierot
American Journal of Neuroradiology Jul 2020, 41 (7) 1225-1231; DOI: 10.3174/ajnr.A6593
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