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While microsurgical clipping remains the traditional standard treatment, unsuitable candidates often require endovascular alternatives. We developed the WEVO technique, combining a\u00a0volumetrically matched Woven EndoBridge (WEB) placement with a\u00a0LVIS EVO braided stent deployment to achieve device stabilization and neck reconstruction with enhanced metal coverage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a\u00a0retrospective review of 21\u00a0patients treated for non-geometric WNBAs. Patient demographics, aneurysm characteristics, procedural parameters, and clinical outcomes were analyzed. The LVIS EVO stent was deployed using a\u00a0\u201cshouldering\u201d technique to compress stent cells across the aneurysm neck. All patients received dual antiplatelet therapy. Aneurysm occlusion was assessed using the WEB Occlusion Scale (WOS) at 3 to 6\u00a0months and at 12\u00a0months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Median age was 71\u00a0(IQR: 64\u201376); 71% were female. All aneurysms were unruptured with median volume 81.4\u202fmm\n                      <jats:sup>3<\/jats:sup>\n                      (IQR: 46.0-147.1). Most common locations included middle cerebral artery (33%) and basilar artery (33%). Upper extremity arterial access was used in all cases. Immediate contrast stasis was achieved in all patients. One patient developed transient intra-procedural stent thrombus that resolved with intra-arterial tirofiban. No other complications occurred. At 3\u00a0to 6\u2011month follow-up (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u200916), adequate occlusion (WOS Grade\u00a0A or AB) was achieved in 87%. At 12-month follow-up (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u200911), adequate occlusion was maintained in all patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The WEVO technique provides a\u00a0safe and effective endovascular treatment option for non-geometric WNBAs by combining intrasaccular flow disruption with neck scaffolding and increased metal coverage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00062-026-01640-w","type":"journal-article","created":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T12:18:13Z","timestamp":1774354693000},"page":"899-909","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The WEVO Technique: A\u00a0Novel Dual-Device Endovascular Strategy for Non-Geometric Wide Neck Bifurcation Aneurysms"],"prefix":"10.1007","volume":"36","author":[{"given":"Sarah J.","family":"Snyder","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Om H.","family":"Gandhi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sami","family":"Almasri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaeha","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shirley","family":"Yuan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron","family":"Anandarajah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suehyb G.","family":"Alkhatib","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandeep","family":"Kandregula","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Bagley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar A.","family":"Choudhri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,24]]},"reference":[{"issue":"4","key":"1640_CR1","doi-asserted-by":"publisher","first-page":"2717","DOI":"10.1007\/s10143-022-01781-9","volume":"45","author":"T Chacon-Quesada","year":"2022","unstructured":"Chacon-Quesada\u00a0T, Mielke\u00a0D, Rohde\u00a0V, Hernandez-Duran\u00a0S. 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Choudhri serves as a consultant for Terumo Neuro, the manufacturer of both the WEB device and LVIS EVO stent. All other authors have no conflicts of interest to declare","order":1,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable due to waiver of consent.","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable due to waiver of consent.","order":3,"name":"Ethics","label":"Consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethical approval was obtained from the institutional review board for this retrospective study. The requirement for informed consent was waived due to the retrospective nature of the analysis and use of de-identified data.","order":4,"name":"Ethics","label":"Ethical standards","group":{"name":"EthicsHeading","label":"Declarations"}}]}}