PT  - JOURNAL ARTICLE
AU  - Leyon, Joe Joseph
AU  - Chavda, Swarupsinh
AU  - Lamin, Saleh
TI  - Corking the WEB and coiling through a jailed microcatheter: WEB assisted coiling, a useful technique avoiding the use of stents in treating wide-necked large intracranial aneurysms
AID  - 10.1136/bcr-2015-011649
DP  - 2015 May 02
TA  - BMJ Case Reports
PG  - bcr2015011649
VI  - 2015
4099  - http://casereports.bmj.com/content/2015/bcr-2015-011649.short
4100  - http://casereports.bmj.com/content/2015/bcr-2015-011649.full
AB  - The WEB is an endovascular flow-disrupting device used in treating wide-necked intracranial aneurysms. Although the device is available in varying sizes, large aneurysms pose a challenge with the need for custom-made devices. We describe the use of coils as an adjunct to the WEB device in successfully treating large aneurysms in two patients, one with an acutely ruptured aneurysm. This novel technique of jailing a microcatheter, deploying the WEB and then coiling the aneurysm saves the need for intracranial stenting, thereby avoiding the need for antiplatelet therapy, which is of benefit in the setting of acute aneurysm rupture.