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ORIGINAL RESEARCH INTERVENTIONAL The New Low-Profile WEB 17 System for Treatment of Intracranial Aneurysms: First Clinical Experiences X S.B.T. van Rooij, X J.P. Peluso, X M. Sluzewski, X H.G. Kortman, and X W.J. van Rooij ABSTRACT BACKGROUND AND PURPOSE: The Woven EndoBridge (WEB) is an intrasaccular flow diverter intended to treat wide-neck aneurysms. The latest generation WEBs needed a 0.021-inch microcatheter in the small sizes. Recently, a lower profile range of WEBs compliant with a 0.017-inch microcatheter (WEB 17) has been introduced. We present the first clinical results of treatment of both ruptured and unrup- tured aneurysms with the WEB 17. MATERIALSANDMETHODS: BetweenDecember2016andSeptember2017,forty-sixaneurysmsin40patientsweretreatedwiththeWEB 17. No supporting stents or balloons were used. Twenty-five aneurysms were ruptured (54%). There were 6 men and 34 women (mean age, 62 years; median, 63 years; range, 46–87 years). The mean aneurysm size was 4.9 mm (median, 5 mm; range, 2–7 mm). RESULTS: There were 2 thromboembolic procedural complications without clinical sequelae and no ruptures. The overall permanent procedural complication rate was 0% (0 of 40; 97.5% CI, 0%–10.4%). Imaging follow-up at 3 months was available in 33 patients with 39 aneurysms (97.5% of 40 eligible aneurysms). In 1 aneurysm, the detached WEB was undersized
American Journal of Neuroradiology – American Journal of Neuroradiology
Published: May 1, 2018
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