Retreatment options after the use of the newly launched Woven EndoBridge cerebral aneurysm embolization device (WEB II) are mostly unknown. Nine months after WEB II implantation, a 55-year-old female patient presented with regrowth of an MCA aneurysm. For the first time, standard balloon-assisted coiling was used to close the regrown aneurysm proximal to the WEB II implant. We report on the feasibility and safety of balloon-assisted coiling after implantation of the WEB II device.
AkpekSAratAMorsiH. Self-expandable stent-assisted coiling of wide-necked intracranial aneurysms: A single-center experience. Am J Neuroradiol. 2005; 26: 1223–1231.
2.
RaymondJGuilbertFRoyD. Neck-bridge device for endovascular treatment of wide-neck bifurcation aneurysms: Initial experience. Radiology. 2001; 221: 318–326.
3.
TurjmanFMassoudTFJiC. Combined stent implantation and endosaccular coil placement for treatment of experimental wide-necked aneurysms: A feasibility study in swine. Am J Neuroradiol. 1994; 15: 1087–1090.
4.
ModiJEesaMMenonBK. Balloon-assisted rapid intermittent sequential coiling (BRISC) technique for the treatment of complex wide-necked intracranial aneurysms. Interv Neuroradiol. 2011; 17: 64–69.
5.
LuoJLvXJiangC. Preliminary use of the Leo stent in the endovascular treatment of wide-necked cerebral aneurysms. World Neurosurg. 2010; 73: 379–384.
6.
KulcsarZErnemannUWetzelSG. High-profile flow diverter (silk) implantation in the basilar artery: Efficacy in the treatment of aneurysms and the role of the perforators. Stroke. 2010; 41: 1690–1696.
7.
KimJWParkYS. Endovascular treatment of wide-necked intracranial aneurysms: Techniques and outcomes in 15 patients. J Korean Neurosurg Soc.2011; 49: 97–101.
8.
KaiYHamadaJMoriokaM. Double microcatheter technique for endovascular coiling of wide-neck aneurysms using a new guiding device for the transcarotid approach: Technical note. Neuroradiology. 2005; 47: 73–77.
9.
AugsburgerLFarhatMReymondP. Effect of flow diverter porosity on intraaneurysmal blood flow. Klin Neuroradiol. 2009; 19: 204–214.
10.
FiorellaDKellyMEAlbuquerqueFC. Curative reconstruction of a giant midbasilar trunk aneurysm with the pipeline embolization device. Neurosurgery. 2009; 64: 212–217.
11.
NelsonPKLylykPSzikoraI. The pipeline embolization device for the intracranial treatment of aneurysms trial. Am J Neuroradiol. 2011; 32: 34–40.
DingYHLewisDAKadirvelR. The Woven EndoBridge: A new aneurysm occlusion device. Am J Neuroradiol. 2011; 32: 607–611.
14.
MoretJCognardCWeillA. The “Remodelling Technique” in the Treatment of Wide Neck Intracranial Aneurysms. Angiographic Results and Clinical Follow-up in 56 Cases. Interv Neuroradiol. 1997; 3: 21–35.