Woven EndoBridge treatment for anterior communicating artery aneurysm with optic neuropathy: A case report
Hideki Endo, Yasuyuki Tatsuta, Koichiro Shindo, Daishi Yamaguchi, Suguru Sakurai, Yohei Yamaguchi, Ryunosuke Yoshihara, Daigo Goto, Masahiro Okuma, Tomoaki Ishizuka, Tatsuya Ogino, Hirohiko Nakamura
TL;DR
A 72-year-old woman with a brain aneurysm causing vision loss was successfully treated with a new device called Woven EndoBridge, improving her vision and fully blocking the aneurysm.
Contribution
This case report introduces Woven EndoBridge as a novel endovascular treatment for anterior communicating artery aneurysms causing optic neuropathy.
Findings
The patient's vision improved within one month after Woven EndoBridge embolization.
Follow-up angiography confirmed complete occlusion of the aneurysm.
The treatment minimized mass effect on the optic nerve.
Abstract
Anterior communicating artery aneurysms rarely cause compressive optic neuropathy, and most reports describe surgical clipping or endovascular coiling. Evidence is lacking on the role of intrasaccular flow disruptors, such as the Woven EndoBridge device, in this setting. We present a 72-year-old woman with an unruptured anterior communicating artery aneurysm compressing the right optic nerve and producing an inferior visual field defect. The aneurysm was treated with Woven EndoBridge embolization, positioned to minimize mass effect. The patient’s vision improved within 1 month, and follow-up angiography confirmed complete occlusion. By demonstrating safe aneurysm occlusion and visual improvement with Woven EndoBridge deployment, our report offers a novel endovascular option where the optimal approach remains uncertain.
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Taxonomy
TopicsIntraoperative Neuromonitoring and Anesthetic Effects · Intracranial Aneurysms: Treatment and Complications · Meningioma and schwannoma management