The Woven EndoBridge (WEB) for endovascular therapy of intracranial aneurysms: Update of a systematic review with meta-analysis

Abstract

Although WEB showed high rates of adequate aneurysm occlusion at mid-term, procedure-related complications and mortality rates were not negligible. Future studies should compare the WEB device with other treatment options.

Treatment strategies for recurrent and residual aneurysms after Woven Endobridge implantation

“…A recent meta-analysis found complication rates of 14% (95% CI 9% to 19%); serious adverse events were mainly related to thromboembolism and hemorrhage 18. In our series there were no procedural adverse events and no treatment-related morbidity or mortality.…”

Endovascular treatment of intracranial aneurysms using the Woven EndoBridge (WEB) device: retrospective analysis of a single center experience

“…After a median follow up of 7 months, adequate occlusion rate was 85% and similar for ruptured and unruptured aneurysms. Tau et al reviewed 12 uncontrolled studies reporting outcomes for 940 patients with 962 aneurysms [11]. Feasibility rate was 97% and in 9% of the patients an additional treatment was necessary.…”

Endovascular treatment of basilar tip aneurysms in the era of endosaccular flow disruption: a comparative study

“…The WEB and Contour devices represent a completely different concept: different from stents and intraluminal flow diverter stents, these dense-meshed devices are placed completely in the aneurysm sac and aim to disrupt the blood flow entering and exiting the sac at the level of the neck in order to promote stagnation and thrombus formation. The WEB device proved efficacy and safety in multiple prospective and retrospective multi-centred studies, especially in the treatment of ruptured and wide-necked aneurysms [3][4][5][6][7].…”

“…The Woven EndoBridge (WEB; Microvention/Terumo, Aliso Viejo, CA, USA) is deployed completely endosaccular in order to reduce the inflow into the aneurysm at the level of the neck, thus leading to thrombus formation and potentially shrinkage of the aneurysm sac. The technical success and safety of WEB was supported by several studies resulting in widespread use for both ruptured and unruptured aneurysms [3][4][5][6][7].…”