The Woven Endobridge (WEB; Microvention, Aliso Viejo, California, USA) is a relatively new device which has been shown to be safe and effective for the treatment of wide necked bifurcation aneurysms in multiple prospective Good Clinical Practice studies. However, the vast majority of aneurysms included in these studies have been unruptured. The aim of this review is to summarise the current evidence available on the treatment of ruptured aneurysms with the WEB.
MolyneuxAJKerrRSCYuL-Met al.
International subarachnoid aneurysm trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised comparison of effects on survival, dependency, seizures, rebleeding, subgroups, and aneurysm occlusion. Lancet Lond Engl2005;
366: 809–817.
2.
Fernandez ZubillagaAGuglielmiGViñuelaFet al.
Endovascular occlusion of intracranial aneurysms with electrically detachable coils: correlation of aneurysm neck size and treatment results. AJNR Am J Neuroradiol1994;
15: 815–820.
3.
DebrunGMAletichVAKehrliPet al.
Selection of cerebral aneurysms for treatment using Guglielmi detachable coils: the preliminary university of Illinois at Chicago experience. Neurosurgery1998;
43: 1281–1295; discussion 1296–1297.
4.
BechanRSSprengersMEMajoieCBet al.
Stent-assisted coil embolization of intracranial aneurysms: complications in acutely ruptured versus unruptured aneurysms. AJNR Am J Neuroradiol2016;
37: 502–507.
5.
BodilyKDCloftHJLanzinoGet al.
Stent-assisted coiling in acutely ruptured intracranial aneurysms: a qualitative, systematic review of the literature. AJNR Am J Neuroradiol2011;
32: 1232–1236.
6.
KungDKPoliceniBACapuanoAWet al.
Risk of ventriculostomy-related hemorrhage in patients with acutely ruptured aneurysms treated using stent-assisted coiling. J Neurosurg2011;
114: 1021–1027.
7.
PierotLMoretJBarreauXet al.
Safety and efficacy of aneurysm treatment with WEB in the cumulative population of three prospective, multicenter series. J Neurointerv Surg2018;
10: 553–559.
8.
ArthurASMolyneuxACoonALet al.
The safety and effectiveness of the woven EndoBridge (WEB) system for the treatment of wide-necked bifurcation aneurysms: final 12-month results of the pivotal WEB intrasaccular therapy (WEB-IT) study. J NeuroInterventional Surg2019;
11: 924–930.
9.
LiebigTKabbaschCStrasillaCet al.
Intrasaccular flow disruption in acutely ruptured aneurysms: a multicenter retrospective review of the use of the WEB. AJNR Am J Neuroradiol2015;
36: 1721–1727.
10.
RooijSBTvan RooijWJvan PelusoJPet al.
WEB treatment of ruptured intracranial aneurysms: a single-center cohort of 100 patients. AJNR Am J Neuroradiol2017;
38: 2282–2287.
11.
Da RosVBozziAComelliCet al.
Ruptured intracranial aneurysms treated with woven endobridge intrasaccular flow disruptor: a multicenter experience. World Neurosurg2019;
122: e498–e505.
12.
RajRRautioRPekkolaJet al.
Treatment of ruptured intracranial aneurysms using the woven EndoBridge device: a two-center experience. World Neurosurg2019;
123: e709–e716.
13.
Al SaieghFHasanDMouchtourisNet al.
Treatment of acutely ruptured cerebral aneurysms with the woven EndoBridge device: experience post-FDA approval. Neurosurgery 2020; 87: E16–E22.
14.
YoussefPPIiiDDPetersonJet al.
Woven EndoBridge (WEB) device in the treatment of ruptured aneurysms. J NeuroInterventional Surg. Epub ahead of print 21 July 2020. DOI: 10.1136/neurintsurg-2020-016405.
15.
BehmeDBerlisA andWeberW.Woven EndoBridge intrasaccular flow disrupter for the treatment of ruptured and unruptured wide-neck cerebral aneurysms: report of 55 cases. AJNR Am J Neuroradiol2015;
36: 1501–1506.
16.
ClajusCStrasillaCFiebigTet al.
Initial and mid-term results from 108 consecutive patients with cerebral aneurysms treated with the WEB device. J Neurointerv Surg2017;
9: 411–417.
17.
PopielskiJBerlisAWeberWet al.
Two-center experience in the endovascular treatment of ruptured and unruptured intracranial aneurysms using the WEB device: a retrospective analysis. AJNR Am J Neuroradiol2018;
39: 111–117.
18.
OzpeynirciYBraunMPalaAet al.
WEB-only treatment of ruptured and unruptured intracranial aneurysms: a retrospective analysis of 47 aneurysms. Acta Neurochir (Wien)2019;
161: 1507–1513.
19.
LawsonAMolyneuxASellarRet al.
Safety results from the treatment of 109 cerebral aneurysms using the woven EndoBridge technique: preliminary results in the United Kingdom. J Neurosurg2018;
128: 144–153.
20.
TauNSadeh-GonikUAulagnerGet al.
The woven EndoBridge (WEB) for endovascular therapy of intracranial aneurysms: update of a systematic review with meta-analysis. Clin Neurol Neurosurg2018;
166: 110–115.
21.
ItoyamaYFujiokaSTakakiSet al.
Significance of elevated thrombin-antithrombin III complex and plasmin-alpha 2-plasmin inhibitor complex in the acute stage of nontraumatic subarachnoid hemorrhage. Neurosurgery1994;
35: 1055–1060.
22.
CaroffJMihaleaCDargentoFet al.
Woven endobridge (WEB) device for endovascular treatment of ruptured intracranial wide-neck aneurysms: a single-center experience. Neuroradiology2014;
56: 755–761.
23.
CognardCPierotLAnxionnatRet al.; Clarity Study Group.
Results of embolization used as the first treatment choice in a consecutive nonselected population of ruptured aneurysms: clinical results of the clarity GDC study. Neurosurgery2011;
69: 837–841; discussion 842.
24.
PierotLCognardCAnxionnatRet al.; for the CLARITY Investigators.
Ruptured intracranial aneurysms: factors affecting the rate and outcome of endovascular treatment complications in a series of 782 patients (CLARITY study). Radiology2010;
256: 916–923.
25.
PierotLBarbeCNguyenHAet al.
Intraoperative complications of endovascular treatment of intracranial aneurysms with coiling or balloon-assisted coiling in a prospective multicenter cohort of 1088 participants: analysis of recanalization after endovascular treatment of intracranial aneurysm (ARETA) study. Radiology2020;
295: 381–389.
26.
van RooijSBTPelusoJPSluzewskiMet al.
The new low-profile WEB 17 system for treatment of intracranial aneurysms: first clinical experiences. AJNR Am J Neuroradiol2018;
39: 859–863.
27.
CaroffJMihaleaCNekiHet al.
Role of C-Arm VasoCT in the use of endovascular WEB flow disruption in intracranial aneurysm treatment. AJNR Am J Neuroradiol2014;
35: 1353–1357.
28.
AlurkarAKaranamLSPNayakSet al.
Stent-assisted coiling in ruptured wide-necked aneurysms: a single-center analysis. Surg Neurol Int2012;
3: 131.
29.
SpelleLHerbreteauDBarreauXet al. CLARYS : clinical assessment of WEB® device in ruptured aneurysms: résultats préliminaires, www.em-consulte.com/en/article/1202396 (2018, accessed 19 May 2019).
