Embolization of an anterior communicating aneurysm with a Woven EndoBridge combined with a coil: a case report

Cases of Woven EndoBridge (WEB) combined with coil embolization of ruptured anterior communicating aneurysms are rare. We report a 56-year-old male patient who underwent WEB spoiler device combined with coil embolization for ruptured anterior communicating aneurysms and benefited from it. Considering that the patient's aneurysm had ruptured and immediate hemostasis was urgently needed, a coil was introduced to reduce the patient's bleeding risk, in an effort to achieve immediate hemostasis. Considering that the patient's aneurysm morphology was long and narrow, WEB alone was not enough to completely occlude the aneurysm. The combined use of coils can ensure that the aneurysm neck is properly occluded and the aneurysm head is completely embolized. This article details the preoperative evaluation of the patient's condition, the surgical plan, and the postoperative management. The results of this case confirm the feasibility of WEB combined with coil embolization in patients with ruptured aneurysms.