Brain Aneurysm Coiling in Lucknow — India's First WEB-Assisted Procedure Explained

Dr. Rohit Agarwal at Medanta Lucknow performed India's first WEB-assisted aneurysm coiling procedure. Here is what WEB coiling is and why it represents the next generation of aneurysm treatment.

Standard Coiling vs WEB Device

Standard coiling packs individual platinum coils into the aneurysm sac one by one. This works very well for narrow-neck aneurysms. For wide-neck or bifurcation aneurysms (where the aneurysm sits at the junction of two arteries), coiling can be technically challenging and may require additional devices like stents or balloons to prevent coils from falling back into the parent artery.

The WEB (Woven EndoBridge) device is a self-expanding mesh implant designed specifically for bifurcation aneurysms. It is deployed inside the aneurysm in a single step — like a small basket that fills the aneurysm sac and disrupts blood flow within it, causing the aneurysm to thrombose (clot off) without the need for multiple coils, stents, or anticoagulation.

Advantages of WEB for Wide-Neck Aneurysms

• Single-device deployment — technically simpler than complex coiling + stent techniques
• No need for long-term dual antiplatelet therapy (unlike stent-assisted coiling)
• Suitable for ruptured aneurysms where antiplatelet drugs are problematic
• Excellent occlusion rates for bifurcation aneurysms

Dr. Rohit Agarwal's Landmark Achievement

The first WEB-assisted coiling in India was performed by Dr. Rohit Agarwal at Medanta Lucknow — a landmark that places Medanta among the most advanced neurovascular centres in the country. This expertise means that even the most complex aneurysm cases can be managed at Medanta Lucknow without referral to Delhi or Mumbai. For brain aneurysm coiling in Lucknow, call +91 860-445-3663.