[Woven-EndoBridge (WEB) as an intrasaccular method of aneurysm occlusion]. / Woven EndoBridge (WEB) als intrasakkuläre Methode des Aneurysmaverschlusses.

ABSTRACT

CLINICAL PROBLEM: The treatment of intracranial wide-necked bifurcation aneurysms-which account for approximately 26-36% of all brain aneurysms-can be challenging both endovascularly and surgically, as a complete cut-off of the blood flow into the aneurysm should be achieved without disruption of the flow into the bifurcation vessels. Intrasacular flow disruption with the Woven-EndoBridge (WEB) is an innovative technique for the treatment of such aneurysms. This review article discusses various aspects of the treatment of intracranial aneurysms with the WEB device, including indications, aneurysm/device selecting strategies, antiplatelet therapy requirements, procedural technique and potential complications. PRACTICAL RECOMMENDATIONS: Intrasacular flow disruption with the WEB device is a safe and effective treatment method for intracranial wide-necked bifurcation aneurysms, especially for patients with ruptured aneurysms, in patients with contraindications for antiplatelet therapy, and for patients in whom clipping is associated with high risks.