Adjustment of Malpositioned Woven EndoBridge Device Using Gooseneck Snare: Complication Management Technique
10.5469euroint.2021.00318
- Author:
Krishna AMULURU
1
;
Fawaz AL-MUFTI
;
Daniel H. SAHLEIN
;
John SCOTT
;
Andrew DENARDO
Author Information
1. Division of Interventional Neuroradiology, Goodman Campbell Brain and Spine, Ascension St. Vincent Medical Center, Indianapolis, IN, USA
- Publication Type:Technical Note
- From:Neurointervention
2021;16(3):275-279
- CountryRepublic of Korea
- Language:English
-
Abstract:
The Woven EndoBridge (WEB) is an intrasaccular flow-disrupting device for the treatment of wide-necked saccular cerebral aneurysms. As with any neuroendovascular device, complications in the form of malpositioning and migration must be managed quickly and safely. Few studies have reported complication management techniques in instances of dislocated or migrated WEB devices. We retrospectively describe a case of a malpositioned WEB device that was successfully adjusted with the use of a gooseneck snare. Multiple other intra-procedural bailout strategies for management of WEB malposition and migration were considered, and are herein discussed. Operators should be aware of the causes of WEB malposition and a variety of bailout strategies.
