Woven EndoBridge treatment for anterior communicating artery aneurysm with optic neuropathy: A case report

Anterior communicating artery aneurysms rarely cause compressive optic neuropathy, and most reports describe surgical clipping or endovascular coiling. Evidence is lacking on the role of intrasaccular flow disruptors, such as the Woven EndoBridge device, in this setting. We present a 72-year-old woman with an unruptured anterior communicating artery aneurysm compressing the right optic nerve and producing an inferior visual field defect. The aneurysm was treated with Woven EndoBridge embolization, positioned to minimize mass effect. The patient's vision improved within 1 month, and follow-up angiography confirmed complete occlusion. By demonstrating safe aneurysm occlusion and visual improvement with Woven EndoBridge deployment, our report offers a novel endovascular option where the optimal approach remains uncertain.