WEB in Partially Thrombosed Intracranial Aneurysms: A Word of Caution

被引:17
作者
Anil, G. [1 ,3 ]
Goddard, A. J. P. [1 ]
Ross, S. M. [2 ]
Deniz, K. [2 ]
Patankar, T. [1 ]
机构
[1] Natl Hlth Serv Trust, Leeds Teaching Hosp, Dept Neuroradiol, Leeds, W Yorkshire, England
[2] Natl Hlth Serv Trust, Leeds Teaching Hosp, Dept Neurosurg, Leeds, W Yorkshire, England
[3] Natl Univ Singapore Hosp, Dept Diagnost Imaging, 5 Lower Kentridge Rd, Singapore 119074, Singapore
关键词
ENDOVASCULAR TREATMENT; FLOW-DIVERSION; FOLLOW-UP; MECHANISM; COILING; RUPTURE; GROWTH;
D O I
10.3174/ajnr.A4604
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
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.
引用
收藏
页码:892 / 896
页数:5
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