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. 2024 Apr 24;4(5):e001335.
doi: 10.1161/SVIN.124.001335. eCollection 2024 Sep.

Rupture of a Previously Unruptured Cerebral Aneurysm 6 Years After Treatment With the Woven EndoBridge (WEB) Device: Case Report

Alexander Drofa  1 , Evgueni Kouznetsov  1
Affiliations

Rupture of a Previously Unruptured Cerebral Aneurysm 6 Years After Treatment With the Woven EndoBridge (WEB) Device: Case Report

Alexander Drofa et al. Stroke Vasc Interv Neurol. .

Abstract

Background: Introduced to the clinical field in 2011, the Woven EndoBridge (Sequent Medical) device is recognized as a significant innovation for managing wide-neck bifurcation aneurysms. Delayed aneurysm ruptures, typically occurring hours to months after Woven EndoBridge placement, have been reported.

Methods: We present a case of a previously unruptured, known residual aneurysm that ruptured 6 years after treatment with a Woven EndoBridge device. This case underscores the fact that intrasaccular flow diversion, without achieving aneurysm occlusion, does not prevent aneurysm rupture.

Conclusion: Consequently, aneurysm retreatment to attain complete occlusion is imperative.

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Conflict of interest statement

None.

Figures

Figure 1
Figure 1
Computed tomography without contrast demonstrating subarachnoid hemorrhage.
Figure 2
Figure 2
Three‐dimensional rotation cerebral angiogram reconstruction, showing irregular right middle cerebral artery aneurysm.
Figure 3
Figure 3
Intraoperative photograph of the middle cerebral artery aneurysm, demonstrating Woven EndoBridge device through thickened aneurysm wall.
See this image and copyright information in PMC

References

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