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Case Report | Open Access

Off-label use of Woven EndoBridge device in vertebro-basilar junction aneurysm and a review of the literature

Shail Thankia( ), Hannah Goldman-Daleob, Kunal Vakhariaa
Department of Neurosurgery and Brain Repair, University of South Florida, Tampa, FL 33606, USA
Morsani College of Medicine, University of South Florida, Tampa, FL 33602, USA
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Abstract

An intrasaccular flow diverter, the Woven EndoBridge device has emerged as an alternate intervention for complex aneurysms of the ACA, MCA, ICA, and basilar artery. However, few studies report the use of the WEB device in off-label locations. This case report aims to contribute to this limited collection of data. We present a case of a 53-year-old male presenting with occipital headaches, found to have vertebrobasilar junction aneurysm. The WEB device was successfully used to embolize a large aneurysm of the vertebrobasilar junction, a current off-label location. This represents a new use of the WEB device, as well as an approach that addresses the limitations of other techniques used for vertebrobasilar junction aneurysms.

Keywords

Subarachnoid hemorrhageIntra-saccular deviceWoven EndoBridge (WEB)Side-wall aneurysmBrain hemorrhageNeuroendovascular

References

1
Premarket Approval (PMA): Available: https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpma/pma.cfm?id=P170032. Accessed 30 June 2022.
2

Collice M, Arena O, D’Aliberti G, et al. Aneurysms of the vertebro-basilar junction area: preliminary experience in endovascular and surgical management. Acta Neurochir (Wien). 1997;139(2):124-133. https://doi.org/10.1007/BF02747192.
Crossref Google Scholar
3

Sanai N, Tarapore P, Lee AC, Lawton MT. The current role of microsurgery for posterior circulation aneurysms: a selective approach in the endovascular era. Neurosurgery. 2008;62(6):1236-1253. https://doi.org/10.1227/01.neu.0000333295.59738.de.
Crossref Google Scholar
4

Cantore G, Santoro A, Guidetti G, Delfinis CP, Colonnese C, Passacantilli E. Surgical treatment of giant intracranial aneurysms: current viewpoint. Neurosurgery. 2008;63(4 Suppl 2):279-290. https://doi.org/10.1227/01.NEU.0000313122.58694.91.
Crossref Google Scholar
5

Campos J, Fox AJ, Viñuela F, et al. Saccular aneurysms in basilar artery fenestration. AJNR Am J Neuroradiol. 1987;8(2):233-236.
Crossref Google Scholar
6

Peluso JP, van Rooij WJ, Sluzewski M, Beute GN. Aneurysms of the vertebrobasilar junction: incidence, clinical presentation, and outcome of endovascular treatment. AJNR Am J Neuroradiol. 2007;28(9):1747-1751. https://doi.org/10.3174/ajnr.A0654.
Crossref Google Scholar
7

Wiebers DO, Whisnant JP, Huston 3rd J, et al. Unruptured intracranial aneurysms: natural history, clinical outcome, and risks of surgical and endovascular treatment. Lancet. 2003;362(9378):103-110. https://doi.org/10.1016/s0140-6736(03)13860-3.
Crossref Google Scholar
8

Sanders WP, Sorek PA, Mehta BA. Fenestration of intracranial arteries with special attention to associated aneurysms and other anomalies. AJNR Am J Neuroradiol. 1993;14(3):675-680.
Crossref Google Scholar
9

Graziano F, Ganau M, Iacopino DG, Boccardi E. Vertebro-basilar junction aneurysms: a single centre experience and meta-analysis of endovascular treatments. Neuroradiol J. 2014;27(6):732-741. https://doi.org/10.15274/NRJ-2014-10100.
Crossref Google Scholar
10

Wu Q, Li C, Xu S, et al. Flow diversion vs. Stent-assisted coiling in the treatment of intradural large vertebrobasilar artery aneurysms. Front Neurol. 2022:13. https://doi.org/10.3389/fneur.2022.917002.
Crossref Google Scholar
11

Nelson PK, Lylyk P, Szikora I, Wetzel SG, Wanke I, Fiorella D. The pipeline embolization device for the intracranial treatment of aneurysms trial. Am J Neuroradiol. 2010;32(1):34-40. https://doi.org/10.3174/ajnr.a2421.
Crossref Google Scholar
12

Siddiqui AH, Abla AA, Kan P, et al. Panacea or problem: flow diverters in the treatment of symptomatic large or giant fusiform vertebrobasilar aneurysms. J Neurosurg. 2012;116(6):1258-1266. https://doi.org/10.3171/2012.2.JNS111942.
Crossref Google Scholar
13

Lall RR, Crobeddu E, Lanzino G, Cloft HJ, Kallmes DF. Acute branch occlusion after Pipeline embolization of intracranial aneurysms. J Clin Neurosci.. 2014;21(4):668-672. https://doi.org/10.1016/j.jocn.2013.07.011.
Crossref Google Scholar
14
Fiorella D, Hsu D, Woo HH, Tarr RW, Nelson PK. Very late thrombosis of a pipeline embolization device construct: case report. Neurosurgery. 2010;67(3 Suppl Operative):onsE313-onsE314. 10.1227/01.NEU.0000383875.08681.23
Crossref
15

Pierot L, Liebig T, Sychra V, et al. Intrasaccular flow-disruption treatment of intracranial aneurysms: Preliminary results of a multicenter clinical study. Am J Neuroradiol. 2012;33(7):1232-1238. https://doi.org/10.3174/ajnr.a3191.
Crossref Google Scholar
16

Pierot L, Moret J, Barreau X, et al. Safety and efficacy of aneurysm treatment with WEB in the cumulative population of three prospective, multicenter series. J Neurointerv Surg.. 2018;10(6):553-559. https://doi.org/10.1136/neurintsurg-2017-013448.
Crossref Google Scholar
17

Pierot L, Spelle L, Vitry F, Investigators ATENA. Immediate clinical outcome of patients harboring unruptured intracranial aneurysms treated by endovascular approach: results of the ATENA study. Stroke. 2008;39(9):2497-2504. https://doi.org/10.1161/STROKEAHA.107.512756.
Crossref Google Scholar
18
Pierot L, Cognard C, Ricolfi F, Anxionnat R; CLARITY investigators. Mid-term anatomic results after endovascular treatment of ruptured intracranial aneurysms with Guglielmi detachable coils and Matrix coils: analysis of the CLARITY series. AJNR Am J Neuroradiol 2012;33(3):469-473. 10.3174/ajnr.A2771.
Crossref
19

Arthur AS, Molyneux A, Coon AL, et al. The safety and effectiveness of the Woven EndoBridge (WEB) system for the treatment of wide-necked bifurcation aneurysms: final 12-month results of the pivotal WEB Intrasaccular Therapy (WEB-IT) Study. J Neurointerv Surg. 2019;11(9):924-930. https://doi.org/10.1136/neurintsurg-2019-014815.
Crossref Google Scholar
20

Luzzi S, Del Maestro M, Galzio R. Posterior circulation aneurysms: A critical appraisal of a surgical series in endovascular era. Acta Neurochir Suppl. 2021;132:39-45. https://doi.org/10.1007/978-3-030-63453-7_6. PMID: 33973027.
Crossref Google Scholar
Brain Hemorrhages
Volume 4 Issue 3,
September 2023
Pages 129-131
DOI: 10.1016/j.hest.2022.10.007
Cite this article:
Thanki S, Goldman-Daleo H, Vakharia K. Off-label use of Woven EndoBridge device in vertebro-basilar junction aneurysm and a review of the literature. Brain Hemorrhages, 2023, 4(3): 129-131. https://doi.org/10.1016/j.hest.2022.10.007

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Received: 26 September 2022
Revised: 25 October 2022
Accepted: 25 October 2022
Published: 29 October 2022
© 2022 International Hemorrhagic Stroke Association.

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
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