{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T18:04:00Z","timestamp":1786125840093,"version":"build-2736575974"},"reference-count":4,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2021,6,25]],"date-time":"2021-06-25T00:00:00Z","timestamp":1624579200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Operative Surg.","ONSURG"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    The Woven EndoBridge (WEB) device (MicroVention, Aliso Viejo, California) is an intrasaccular flow disruptor used for the treatment of both unruptured and ruptured intracranial aneurysms. WEB has been shown to have 54% complete and 85% adequate aneurysm occlusion rates at 1-yr follow-up.\n                    <jats:sup>1<\/jats:sup>\n                    Residual and recurrent ruptured aneurysms have been shown to have a higher risk of re-rupture than completely occluded aneurysms.\n                    <jats:sup>2<\/jats:sup>\n                    With increased utilization of WEB in the United States, optimizing treatment strategies of residual aneurysms previously treated with the WEB device is essential, including surgical clipping.\n                    <jats:sup>3,4<\/jats:sup>\n                    Here, we present an operative video demonstrating the surgical clip occlusion of previously ruptured middle cerebral artery and anterior communicating artery aneurysms that had been treated with the WEB device and had sizable recurrence on follow-up angiography. Informed consent was obtained from both patients. Lessons learned include the following: (1) the WEB device is highly compressible, unlike coils; (2) proximal WEB marker may interfere with clip closure; (3) no evidence of WEB extrusion into the subarachnoid space; (4) no more scarring than expected in ruptured cases; and (5) clipping is a feasible option for treating WEB recurrent or residual aneurysms.\n                  <\/jats:p>","DOI":"10.1093\/ons\/opab218","type":"journal-article","created":{"date-parts":[[2021,6,25]],"date-time":"2021-06-25T18:23:35Z","timestamp":1624645415000},"page":"E365-E365","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Woven EndoBridge Embolized Aneurysm Clippings: 2-Dimensional Operative Video"],"prefix":"10.1227","volume":"21","author":[{"given":"Daniel M","family":"Heiferman","sequence":"first","affiliation":[{"name":"Semmes-Murphey Neurologic and Spine Institute, Memphis, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy C","family":"Peterson","sequence":"additional","affiliation":[{"name":"Semmes-Murphey Neurologic and Spine Institute, Memphis, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kendrick D","family":"Johnson","sequence":"additional","affiliation":[{"name":"Semmes-Murphey Neurologic and Spine Institute, Memphis, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent N","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Tennessee College of Medicine, Memphis, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Dornbos","sequence":"additional","affiliation":[{"name":"Semmes-Murphey Neurologic and Spine Institute, Memphis, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth A","family":"Moore","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Tennessee College of Medicine, Memphis, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Violiza","family":"Inoa","sequence":"additional","affiliation":[{"name":"Semmes-Murphey Neurologic and Spine Institute, Memphis, Tennessee, USA"},{"name":"Department of Neurology, University of Tennessee College of Medicine, Memphis, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel A","family":"Hoit","sequence":"additional","affiliation":[{"name":"Semmes-Murphey Neurologic and Spine Institute, Memphis, Tennessee, USA"},{"name":"Department of Neurological Surgery, University of Tennessee College of Medicine, Memphis, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam S","family":"Arthur","sequence":"additional","affiliation":[{"name":"Semmes-Murphey Neurologic and Spine Institute, Memphis, Tennessee, USA"},{"name":"Department of Neurological Surgery, University of Tennessee College of Medicine, Memphis, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,10]]},"reference":[{"issue":"9","key":"bib1-20250821","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1136\/neurintsurg-2019-014815","article-title":"The safety and effectiveness of the Woven EndoBridge (WEB) system for the treatment of wide-necked bifurcation aneurysms: final 12-month results of the pivotal WEB Intrasaccular Therapy (WEB-IT) study","volume":"11","author":"Arthur","year":"2019","journal-title":"J NeuroIntervent Surg"},{"issue":"1","key":"bib2-20250821","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1161\/STROKEAHA.107.495747","article-title":"Predictors of rehemorrhage after treatment of ruptured intracranial aneurysms: the Cerebral Aneurysm Rerupture After Treatment (CARAT) study","volume":"39","author":"Johnston","year":"2008","journal-title":"Stroke"},{"key":"bib3-20250821","article-title":"Clipping as re-treatment strategy after treatment of a cerebral aneurysm with the Woven EndoBridge embolization device: case report [published online ahead of print: March 1, 2018]","author":"Durner","journal-title":"J Neurosurg"},{"issue":"8","key":"bib4-20250821","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1136\/neurintsurg-2019-014903","article-title":"Clipping of recanalized intracerebral aneurysms initially treated by the Woven EndoBridge device","volume":"11","author":"Pierot","year":"2019","journal-title":"J NeuroIntervent Surg"}],"container-title":["Operative Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ons\/article-pdf\/21\/4\/E365\/40331717\/opab218.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ovid.com\/10.1093\/ons\/opab218","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:02:44Z","timestamp":1786122164000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1093\/ons\/opab218"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,25]]},"references-count":4,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1093\/ons\/opab218","relation":{},"ISSN":["2332-4252","2332-4260"],"issn-type":[{"value":"2332-4252","type":"print"},{"value":"2332-4260","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,25]]},"assertion":[{"value":"2021-01-10","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-04-29","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}