RT Journal Article
SR Electronic
T1 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
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr2015011649
DO 10.1136/bcr-2015-011649
VO 2015
A1 Leyon, Joe Joseph
A1 Chavda, Swarupsinh
A1 Lamin, Saleh
YR 2015
UL http://casereports.bmj.com/content/2015/bcr-2015-011649.abstract
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.