Selected Cases

Case #1: Incidental Basilar tip aneurysm in a 57-year-old woman





A. Conventional angiography shows a very wide-neck basilar tip aneurysm.
B. Placement of the WEB device within the aneurysmal sac.




C. Angiographic control at the end of EVT shows a small-neck remnant (arrow) that is mostly due to the design of the WEB that has a concave proximal recess.
D. Unsubstracted lateral view at the end of EVT shows the WEB device (arrow).





E. Angiographic control at 12 months shows a stable aneurysm occlusion.
F. Unsubstracted lateral view at 12 months shows the WEB device that remains unchanged both in shape and size (arrow).





G. & H. Show total occlusion of aneurysm at 18 and 24 months, respectively.


Used with permission from Prof B. Lubicz, Department of Neuroradiology, Erasme University Hospital, Brussels, Belgium, and as reported in: AJNR Am J Neuroradiol. 2013 Jan 4. [Epub ahead of print] "WEB Device for Endovascular Treatment of Wide-Necked Bifurcation Aneurysms". Lubicz B, Mine B, Collignon L, Brisbois D, Duckwiler G, Strother C. Department of Neuroradiology, Erasme University Hospital, Brussels, Belgium; Department of Radiology, Centre Hospitalier Régional de la Citadelle, Liège, Belgium; Department of Interventional Neuroradiology, University of California, Los Angeles, Los Angeles, California; and Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin. Copyright by American Society of Neuroradiology. Note the 18 and 24 month follow-up images were not available for AJNR manuscript. These images provided courtesy of Prof. B. Lubicz.