Woven Endobridge device for treatment of dissection-related PICA aneurysm.

Journal Article (Journal Article)

Ruptured vertebrobasilar dissecting aneurysms require urgent, often challenging treatment as they have with a high re-hemorrhage rate within the first 24 hours. The patient is a 57-year-old woman who presented with severe-sudden onset headache. Further work up showed a ruptured dissecting aneurysm of the caudal loop of the posterior inferior cerebellar artery (PICA) with associated narrowing distally, in the ascending limb. The aneurysm was immediately occluded with a Woven Endobridge (WEB) device (MicroVention, Tustin, CA, USA) while flow diversion treatment of the diseased ascending limb was postponed. Follow-up angiography three months later showed complete occlusion of the aneurysm, as well as healing of the diseased distal vessel, obviating the need for further intervention. WEB embolization of a ruptured dissecting posterior circulation aneurysm provided an excellent outcome for this patient.

Full Text

Duke Authors

Cited Authors

  • Khattar, NK; White, AC; Cruz, AS; Adams, SW; Meyer, KS; Nauta, HJ; Ding, D; James, RF

Published Date

  • June 2021

Published In

Volume / Issue

  • 27 / 3

Start / End Page

  • 388 - 390

PubMed ID

  • 33070683

Pubmed Central ID

  • PMC8190937

Electronic International Standard Serial Number (EISSN)

  • 2385-2011

Digital Object Identifier (DOI)

  • 10.1177/1591019920968349


  • eng

Conference Location

  • United States