{
  "abstract": "To report a case of post-detachment Woven EndoBridge (WEB) displacement successfully managed through microcatheter manipulation alone, avoiding unplanned stenting, which necessitates long-term dual antiplatelet therapy. A 42-year-old male presented with an unruptured middle cerebral artery bifurcation aneurysm. Device sizing was planned using high-resolution 3D DSA and volumetric analysis on a Siemens ARTIS icono biplane (ARTIS icono VE20 software; Siemens Healthineers, Erlangen, Germany). A WEB SL 5 × 3 mm device (Terumo Neuro, Tustin, CA, USA) was deployed and detached. However, the subsequent withdrawal of an adjunctive microcatheter from a branch vessel caused vascular recoil, leading the detached WEB to rotate and protrude toward the branch orifice, compromising distal flow. Instead of rescue stenting, we performed a \"pushing technique\" using a Leonis Mova microcatheter (SB-Kawasumi Laboratories, Kanagawa, Japan). The device was successfully reseated within the aneurysm sac, albeit with a 90° rotation. Final angiography confirmed stable seating and excellent branch patency. The patient was discharged without neurological deficits on single antiplatelet therapy. Post-detachment WEB displacement can occur due to dynamic vascular shifts even with precise volumetric sizing. Microcatheter manipulation is a feasible alternative bailout option that preserves the low-profile advantages of the WEB device and avoids the risks associated with rescue stenting.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Neurosurgery, Hyogo Medical University, Nishinomiya, Hyogo, Japan."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Kyoichi Seo"
    },
    {
      "affs": [
        0
      ],
      "name": "Yoji Kuramoto"
    },
    {
      "affs": [
        0
      ],
      "name": "Soichiro Abe"
    },
    {
      "affs": [
        0
      ],
      "name": "Shinichi Yoshimura"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/85r1828hey02g.bib",
  "cited_by": 0,
  "doi": "10.5797/jnet.cr.2026-0107",
  "fulltext_url": "https://europepmc.org/articles/PMC13740985",
  "id": "85r1828hey02g",
  "issns": [
    "1882-4072",
    "2186-2494"
  ],
  "landing_url": "https://europepmc.org/article/MED/42997185",
  "language": "eng",
  "licence": "CC-BY-NC",
  "licence_label": "CC BY-NC",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2728|Intracranial Aneurysms: Treatment and Complications"
    ]
  ],
  "openalex": "W7225233786",
  "pdf_url": "https://europepmc.org/articles/PMC13740985?pdf=render",
  "pmcid": "PMC13740985",
  "pmid": "42997185",
  "published": "2026-11-05",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/85r1828hey02g.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T15:20:34Z",
      "native_id": "MED:42997185",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42997185"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2728|Intracranial Aneurysms: Treatment and Complications",
      "subfield": "neurology"
    }
  ],
  "title": "Post-Detachment Displacement of a Woven EndoBridge (WEB) Device Managed via Microcatheter Manipulation: A Case Report.",
  "title_text": "Post-Detachment Displacement of a Woven EndoBridge (WEB) Device Managed via Microcatheter Manipulation: A Case Report.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T15:20:34Z",
  "url": "https://research.draconitic.com/paper/85r1828hey02g",
  "venue": "Journal of neuroendovascular therapy",
  "versions": []
}