Advertisement

The Treatment of a Ruptured Anterior Communicating Artery (ACoA) Aneurysm with Coiling and Flow Disruptor (WEB-Device) and Management of Symptomatic Post-Interventional Delayed Vasospasm: A Case Report

  • Michael Dobrzeniecki
  • Alex Trofimov
  • Stefan Rath
Chapter
Part of the Acta Neurochirurgica Supplement book series (NEUROCHIRURGICA, volume 127)

Abstract

The article reports a clinical case illustrating a favorable outcome of endovascular treatment of a patient with a ruptured wide range neck ACoA aneurysm by WEB-Device. The peculiar characteristics of the pre-procedural period and the procedure are described.

Keywords

Cerebral aneurysm ACoA aneurysm WEB-Device Perfusion CT 

Notes

Conflict of Interest

Disclosure: Michael Dobrzeniecki Unrelated: Consultant Brainlab.

Funding: None for this report.

References

  1. 1.
    Lubicz B, Klisch J, Gauvrit JY. Short-term and mid-term follow-ups in patients with wide-neck bifurcation aneurysm treated with the WEB device: a retrospective European study. Am J Neuro Radiol. 2014;35:432–8.CrossRefGoogle Scholar
  2. 2.
    Pierot L, Gubucz I, Buhk JH. Safety and efficacy of aneurysm treatment with the WEB: results of the WEBCAST 2 study. Am J Neuro Radiol. 2017;38(6):1151–15.CrossRefGoogle Scholar
  3. 3.
    Asnafi S, Rouchaud A, Pierot L. Efficacy and safety of the Woven EndoBridge (WEB) device for the treatment of intracranial aneurysms: a systematic review and meta-analysis. Am J Neuro Radiol. 2016;37(12):2287–92.CrossRefGoogle Scholar
  4. 4.
    Clajus C, Strasilla C, Fiebig T. Initial and mid-term results from 108 consecutive patients with cerebral aneurysm treated with WEB device. J Neurointerv Surg. 2017;9:411–7.CrossRefGoogle Scholar
  5. 5.
    Pierot L, Spelle L, Molyneux A. Clinical and anatomical follow-up in patients with aneurysm treated with the WEB Device: 1-year follow-up report in the cumulated population of 2 prospective, multicenter series (WEBCAST and French Observatory). Neurosurgery. 2016;78(1):133–41.CrossRefGoogle Scholar
  6. 6.
    Liebig T, Kabbasch C, Strasilla C. Intrasaccular flow disruption in acutely ruptured aneurysm: a multicenter retrospective review of the use of the WEB. Am J Neuro Radiol. 2015;36(9):1721–7.CrossRefGoogle Scholar
  7. 7.
    Sloan MA, Haley EC Jr, Kassell NF. Sensitivity and specificity of transcranial Doppler ultrasonography in the diagnosis of vasospasm following subarachnoid hemorrhage. Neurology. 1989;39(11):1514–8.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Michael Dobrzeniecki
    • 1
  • Alex Trofimov
    • 2
  • Stefan Rath
    • 1
  1. 1.Department of NeurosurgerySpine Surgery and Interventional Neuroradiology DONAUISAR Klinikum DeggendorfDeggendorfGermany
  2. 2.Department of NeurosurgeryNizhniy Novgorod State Hospital Named After NA SemashkoNizhniy NovgorodRussia

Personalised recommendations