NYMC Faculty Publications

Adjustment of Malpositioned Woven EndoBridge Device Using Gooseneck Snare: Complication Management Technique

Author Type(s)

Faculty

DOI

10.5469/neuroint.2021.00318

Journal Title

Neurointervention

First Page

275

Last Page

279

Document Type

Article

Publication Date

11-1-2021

Department

Neurology

Abstract

The Woven EndoBridge (WEB) is an intrasaccular flow-disrupting device for the treatment of wide-necked saccular cerebral aneurysms. As with any neuroendovascular device, complications in the form of malpositioning and migration must be managed quickly and safely. Few studies have reported complication management techniques in instances of dislocated or migrated WEB devices. We retrospectively describe a case of a malpositioned WEB device that was successfully adjusted with the use of a gooseneck snare. Multiple other intra-procedural bailout strategies for management of WEB malposition and migration were considered, and are herein discussed. Operators should be aware of the causes of WEB malposition and a variety of bailout strategies.

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