Advertisement

Middle Cerebral Artery Bifurcation Aneurysm: Wide-Necked Middle Cerebral Artery Bifurcation Aneurysm, Treated with the Woven EndoBridge (WEB), Assisted by pCONUS1_HPC

  • Donald LobsienEmail author
  • Joachim Klisch
  • Christin Clajus
Living reference work entry

Abstract

We report on a 63-year-old female patient with an incidentally detected complex aneurysm of the right middle cerebral artery (MCA) bifurcation. The aneurysm was treated with endosaccular flow disruption using a Woven EndoBridge (WEB; MicroVention) supported by a pCONUS1 (phenox) bifurcation stent with hydrophilic coating, to stabilize the WEB. The combined use of the WEB and pCONUS1 is the main topic of this chapter.

Keywords

Middle cerebral artery Woven EndoBridge (WEB) MCA aneurysm pCONUS1 pHPC coating 

References

  1. Asnafi S, Rouchaud A, Pierot L, Brinjikji W, Murad MH, Kallmes DF. Efficacy and safety of the woven EndoBridge (WEB) device for the treatment of intracranial aneurysms: a systematic review and meta-analysis. AJNR Am J Neuroradiol. 2016;37(12):2287–92.  https://doi.org/10.3174/ajnr.A4900.CrossRefPubMedGoogle Scholar
  2. Cagnazzo F, Ahmed R, Dargazanli C, Lefevre PH, Gascou G, Derraz I, Kalmanovich SA, Riquelme C, Bonafe A, Costalat V. Treatment of wide-neck intracranial aneurysms with the Woven EndoBridge device associated with stenting: a single-center experience. AJNR Am J Neuroradiol. 2019;40(5):820–6.  https://doi.org/10.3174/ajnr.A6032.CrossRefPubMedGoogle Scholar
  3. Clajus C, Strasilla C, Fiebig T, Sychra V, Fiorella D, Klisch J. Initial and mid-term results from 108 consecutive patients with cerebral aneurysms treated with the WEB device. J Neurointerv Surg. 2017;9(4):411–7.  https://doi.org/10.1136/neurintsurg-2016-012276.CrossRefPubMedGoogle Scholar
  4. Gawlitza M, Soize S, Manceau PF, Pierot L. An update on intrasaccular flow disruption for the treatment of intracranial aneurysms. Expert Rev Med Devices. 2019;16(3):229–36.  https://doi.org/10.1080/17434440.2019.1584035.CrossRefPubMedGoogle Scholar
  5. Gory B, Aguilar-Pérez M, Pomero E, Turjman F, Weber W, Fischer S, Henkes H, Biondi A. pCONus device for the endovascular treatment of wide-neck middle cerebral artery aneurysms. AJNR Am J Neuroradiol. 2015;36(9):1735–40.  https://doi.org/10.3174/ajnr.A4392.CrossRefPubMedGoogle Scholar
  6. Lv X, Zhang Y, Jiang W. Systematic review of woven EndoBridge for wide-necked bifurcation aneurysms: complications, adequate occlusion rate, morbidity, and mortality. World Neurosurg. 2018;110:20–5.  https://doi.org/10.1016/j.wneu.2017.10.113.CrossRefPubMedGoogle Scholar
  7. Mihalea C, Caroff J, Rouchaud A, Pescariu S, Moret J, Spelle L. Treatment of wide-neck bifurcation aneurysm using “WEB device waffle cone technique”. World Neurosurg. 2018;113:73–7.  https://doi.org/10.1016/j.wneu.2018.02.020.CrossRefPubMedGoogle Scholar
  8. Mihalea C, Escalard S, Caroff J, Ikka L, Rouchaud A, Da Ros V, Pagiola I, de la Torre JJ M, Yasuda T, Popa BV, Ples H, Benachour N, Ozanne A, Moret J, Spelle L. Balloon remodeling-assisted woven EndoBridge technique: description and feasibility for complex bifurcation aneurysms. J Neurointerv Surg. 2019;11(4):386–9.  https://doi.org/10.1136/neurintsurg-2018-014104.CrossRefPubMedGoogle Scholar
  9. Pierot L, Biondi A. Endovascular techniques for the management of wide-neck intracranial bifurcation aneurysms: a critical review of the literature. J Neuroradiol. 2016;43(3):167–75.  https://doi.org/10.1016/j.neurad.2016.02.001.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Donald Lobsien
    • 1
    Email author
  • Joachim Klisch
    • 1
  • Christin Clajus
    • 1
  1. 1.Institut für diagnostische und interventionelle Radiologie und NeuroradiologieHELIOS Klinikum ErfurtErfurtGermany

Personalised recommendations