{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T16:21:35Z","timestamp":1794068495162,"version":"4.8.0"},"reference-count":23,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T00:00:00Z","timestamp":1762387200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Neuroradiol J"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Endovascular removal of the Woven EndoBridge device (WEBectomy) is rarely reported but crucial for managing complications such as migration, compaction, and malposition, which may lead to recurrence and retreatment. This review aimed to assess treatment strategies, outcomes, and complications associated with WEBectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We searched PubMed, Embase, and Web of Science databases from inception to January 14,\n                      <jats:bold\/>\n                      2025,\n                      <jats:bold\/>\n                      following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for studies reporting on cases of WEBectomy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eight studies with 16 patients (range age 30\u201389; 50% male) with 16 aneurysms were included. The basilar artery was the most common site in 25% (4\/16) of the cases, and 50% (7\/14) of the aneurysms were ruptured. Migration was the most frequent complication (11\/16, 69%), followed by protrusion (4\/16, 25%) and malposition (1\/16, 6%) that required the removal of WEB. The Amplatz Goose Neck Microsnare was the most commonly used retrieval device (12\/16, 75%), with no reported failures or major complications. Retreatment involved a new WEB in 50% (8\/16) and coiling techniques in 31% (5\/16). Among nine patients with follow-up imaging, most showed complete occlusion (67%, 6\/9). Functional outcomes were favorable in 83% (4\/6) (mRS 0\u20131).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Reported cases show that WEBectomy can be successfully performed in selected situations, allowing tailored retreatment planning. However, due to the small number of cases and limited follow-up, no definitive conclusions about safety or efficacy can be drawn. This review provides a concise synthesis of current management strategies for this rare complication.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19714009251393210","type":"journal-article","created":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T17:54:38Z","timestamp":1762451678000},"page":"428-437","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Systematic review of WEBectomy in intracranial aneurysms"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-3149-1370","authenticated-orcid":false,"given":"Jo\u00e3o Paulo Liute","family":"Scarramal","sequence":"first","affiliation":[{"name":"Federal University of Ouro Preto"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel Oberda","family":"Nominato","sequence":"additional","affiliation":[{"name":"Federal University of Ouro Preto"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9130-3143","authenticated-orcid":false,"given":"Leonardo Janu\u00e1rio Campos","family":"Cardoso","sequence":"additional","affiliation":[{"name":"Federal University of Minas Gerais"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariana Let\u00edcia de Bastos","family":"Maximiano","sequence":"additional","affiliation":[{"name":"Federal Fluminense University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-5612-556X","authenticated-orcid":false,"given":"Leonardo BO","family":"Brenner","sequence":"additional","affiliation":[{"name":"State University of Ponta Grossa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiz Felipe Sim\u00f5es Antunes Nery","family":"dos Santos","sequence":"additional","affiliation":[{"name":"University Institute of Health Sciences, Fundaci\u00f3n H. A. Barcel\u00f3"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vitoria","family":"Pinheiro","sequence":"additional","affiliation":[{"name":"Ninth of July University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe Dominici","family":"Castelo Branco","sequence":"additional","affiliation":[{"name":"University Ceuma of Maranh\u00e3o"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raphael","family":"Bertani","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6236-5633","authenticated-orcid":false,"given":"Ahmet","family":"G\u00fcnkan","sequence":"additional","affiliation":[{"name":"University of Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcio Yuri","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Northwell Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Gordon","sequence":"additional","affiliation":[{"name":"Northwell Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Northwell Health"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,6]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.113.000733"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2017.10.113"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1586\/17434440.2014.907741"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A4445"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.neurad.2016.12.011"},{"key":"e_1_3_3_7_2","first-page":"159101992312060","article-title":"Aneurysmal recurrence and retreatment modalities after woven EndoBridge (WEB) device implantation: a systematic review and meta-analysis","author":"Kobeissi H","year":"2023","unstructured":"Kobeissi H, Ghozy S, Pakkam M, et al. Aneurysmal recurrence and retreatment modalities after woven EndoBridge (WEB) device implantation: a systematic review and meta-analysis. Intervent Neuroradiol 2023: 15910199231206082. https:\/\/doi.org\/10.1177\/15910199231206082","journal-title":"Intervent Neuroradiol"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2019-015506"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A4611"},{"key":"e_1_3_3_10_2","first-page":"159101992412421","article-title":"Microsnare retrieval as a bail-out technique of Detached woven EndoBridge device: illustrative series","author":"Chew HS","year":"2024","unstructured":"Chew HS, Altibi M, Al-Ali S, et al. Microsnare retrieval as a bail-out technique of Detached woven EndoBridge device: illustrative series. Intervent Neuroradiol 2024: 15910199241242170. https:\/\/doi.org\/10.1177\/15910199241242170","journal-title":"Intervent Neuroradiol"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A6032"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2023.11.155"},{"key":"e_1_3_3_13_2","volume-title":"Management of WEB device migration and mal-position in endovascular treatment of cerebral aneurysms","author":"Gravino G","year":"2022","unstructured":"Gravino G, Masri S, Chandran A, et al. Management of WEB device migration and mal-position in endovascular treatment of cerebral aneurysms. Interventional Neuroradiology, 2022. https:\/\/doi.org\/10.1177\/15910199221122857"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_3_3_15_2","article-title":"Successful WEBectomy during embolization of temporal arteriovenous malformation-associated flow-related basilar aneurysms","author":"Abdelrady M","year":"2021","unstructured":"Abdelrady M, Dargazanli C, Imad D, et al. Successful WEBectomy during embolization of temporal arteriovenous malformation-associated flow-related basilar aneurysms. 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