Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
A case report and literature review of multiple complications in the treatment of an aneurysm with the woven endobridge device.
Клинический случайСтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Lin Yifeng, Xiao Zhenyu, Zhang Peng
Аннотация
INTRODUCTION: The Woven EndoBridge (WEB) device is proven safe and effective for wide-neck aneurysms in GCP trials; simultaneous intra-operative complications have not been reported. CASE INTRODUCTION: A 47-year-old man presented with sudden headache; CTA/DSA revealed a ruptured basilar aneurysm, SAH and moyamoya disease. WEB embolisation was planned. An incomplete aneurysm coverage required semi-deployment of a stent-assisted coil, followed by full stent deployment that pushed the WEB into the sac. Micro-thrombi on the WEB protrusion reduced posterior cerebral flow, which was reversed promptly with antiplatelet therapy. Post-op recovery was uneventful; no neurological deficits. DISCUSSION: WEB remains safe for wide-neck aneurysms, yet device sizing, release angle and irregular morphology heighten risk. Prolonged manipulation may provoke thrombosis and ischaemia; meticulous technique and rapid antiplatelet rescue are essential.