PDF(Pubmed)
Abstract：
Treatment for wide-neck bifurcation cerebral aneurysms (WNBAs) is widely performed by endovascular treatment as well as open surgical clipping. However, due to factors such as the shape and size of the aneurysms, as well as the anatomical features of surrounding branch vessels, there are some cases in which simple coiling or conventional adjunctive techniques, such as balloon-assisted or neck bridge stent-assisted coiling, are not sufficient to achieve a satisfactory cure. Against this backdrop, the device known as the Woven EndoBridge (WEB) (MicroVention, Aliso Viejo, CA, USA) was developed and can be deployed directly into the aneurysm for treatment. Over a decade has passed since its development, and it is now used in many countries worldwide. This review provides insights into the evolution of the WEB device from its development to the date of this writing, highlighting the unique features of the device and its treatment indications. Additionally, it discusses the posttreatment course, perspectives on recurrence and retreatment, imaging assessments, and potential off-label use based on numerous studies primarily conducted in Europe and the USA.
摘要：
宽颈分叉脑动脉瘤（WNBA）的治疗广泛通过血管内治疗以及开放式手术夹闭进行。然而,由于动脉瘤的形状和大小等因素，以及周围分支血管的解剖特征，在某些情况下，简单的卷取或常规的辅助技术，如球囊辅助或颈桥支架辅助卷绕，不足以达到令人满意的固化。在这种背景下,被称为编织EndoBridge(WEB)的设备(MicroVention，AlisoViejo,CA,美国）被开发出来，可以直接部署到动脉瘤中进行治疗。它的发展已经过去了十多年，它现在在世界许多国家使用。这篇评论提供了对WEB设备从其开发到撰写本文之日的演变的见解，突出设备的独特功能及其治疗适应症。此外,它讨论了后处理过程，关于复发和再治疗的观点，成像评估,以及基于主要在欧洲和美国进行的大量研究的潜在标签外使用。
