WEB™
Case Report
CASE REPORT NO.: 2|2015
Acutely ruptured basilar
bifurcation aneurysm
Case Description
Female, 44 years old
Acutely ruptured basilar
bifurcation aneurysm
SAH
Prof. Dr. du Mesnil, JOHANN WOLFGANG GOETHE UNIVERSITÄT FRANKFURT
6 months follow up
TREATMENT DECISION
Considerations
Options
• Wide necked bifurcation aneurysm
• Stenting & coiling (Y-stenting)
• Fragile, multi lobed dome
• WEB
We chose WEB primarily for the lack of subsequent dual anti
platelet therapy especially when compared to the alternative
of stenting and coiling. Additional considerations were the fast
stasis provided by the WEB and the ability to treat the main
dome with a unitary device without the risk of further trauma
to secondary lobe which had previously bled.
SIZING THE ANEURYSM
PROCEDURE
Measurements
Access
The aneurysm was measured in 2 orthogonal perspectives:
• Right common femoral catheterization
Projection 1:
Projection 2:
Access devices
Width: 6.0
Width: 5.88
• F sheath – up to arteria vertebralis
Height: 5.63
Height: 5.53
• Navien intermediate catheter for coaxial stability
• VIA  catheter – navigated to neck of the aneurysm
• WEB SL 7 × 5 implanted
• Asprin 100 mg for 6 weeks post treatment
www.sequentmedical.com
WEB™
Case Report
CASE REPORT NO.: 2|2015
Acutely ruptured basilar bifurcation aneurysm
Prof. Dr. du Mesnil, JOHANN WOLFGANG GOETHE UNIVERSITÄT FRANKFURT
CONTROL
Immediate stasis at control, goal to occlude secondary lobe achieved.
A
B
C
E
F
G
D
FOLLOW-UP AND FINAL STATEMENT
Contact
Sequent Clinical Team
OFFICE: +49 228 550 791 0
[email protected]
Sequent Medical Inc.,
11 Columbia, Aliso Viejo, CA 92656 | USA
Sequent Medical GmbH,
Ubierstr. 83, 53173 Bonn | Germany
The WEB Aneurysm Embolization
System and VIA Microcatheter have
both received the CE mark. The WEB
Aneurysm Embolization System is not
approved or available for sale or use in
the United States.
www.sequentmedical.com
LB0080-3 A
The treatment result proved stable at the 6-month follow up. The aneurysm remains completely occluded.