BACKGROUND AND PURPOSE: Despite the improvement in technology, endovascular treatment of bifurcation @entity438 remains challenging, mainly due to the difficulty of maintaining coils within the @entity439 sac without compromising the patency of bifurcation arteries. The Woven EndoBridge (WEB) device is a recent intrasaccular braided device specifically dedicated to treating @entity439 with a wide neck by disrupting the flow in the @entity439 and promoting progressive @entity715 . MATERIALS AND METHODS: Using several health data bases, we conducted a systematic review of all published studies of WEB endovascular treatment in @entity438 from 2010 onward to evaluate its efficacy and safety profile. RESULTS: The literature search identified 6 relevant studies (7 articles) including wide-neck bifurcation @entity439 in >= 80% of cases. Clinical data supporting the efficacy and safety of the WEB are limited to noncomparative cohort studies with large heterogeneity from a methodologic standpoint. The WEB deployment was feasible with a success rate of 93%-100%. Permanent morbidity (mRS of >1 at last follow-up) and mortality were measured at 2.2%-6.7% and 0%-17%, respectively. The adequate occlusion rate (total occlusion or neck remnant) varied between 65% and 85.4% at midterm follow-up (range, 3.3-27.4 months). CONCLUSIONS: Endovascular treatment of bifurcation @entity439 with the WEB device is feasible and allows an acceptably adequate @entity439 rate; however, the rate of neck remnants is not negligible. The WEB device needs further clinical and anatomic evaluation with long-term prospective studies, especially of the risk of WEB compression. Prospective controlled studies should be encouraged.

Endovascular Treatment of XXXX with the WEB Device: A Systematic Review of Clinical Outcomes.

@entity715 :: ('MESH:D013927', 'Disease') :: ['aneurysmal thrombosis'] @entity439 :: ('MESH:D000783', 'Disease') :: ['aneurysms', 'aneurysmal neck', 'wide-neck aneurysms', 'such aneurysms', 'aneurysm', 'aneurysm occlusion'] @entity438 :: ('MESH:D002532', 'Disease') :: ['intracranial aneurysms', 'intracranial wide-neck aneurysms']
@entity438 :: (MESH:D002532,Disease) :: ['Intracranial Aneurysms']
