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Case report
Initial experience of coiling cerebral aneurysms using the new Comaneci device
  1. Aimee Louise Deborah Lawson1,
  2. Arun Chandran2,
  3. Mani Puthuran2,
  4. Tony Goddard3,
  5. Hans Nahser4,
  6. Tufail Patankar3
  1. 1Department of Neurosurgery, Leeds Teaching Hospital, Leeds, UK
  2. 2Department of Neuroradiology, The Walton Centre, Liverpool, UK
  3. 3Department of Neuroradiology, Leeds Teaching Hospital, Leeds, UK
  4. 4Walton Centre for Neurology and Neurosurgery, Liverpool, UK
  1. Correspondence to Dr T Patankar, Department of Neuroradiology, Leeds Teaching Hospital, Great George Street, Leeds, West Yorkshire LS1 3EX, UK; tufail.patankar{at}leedsth.nhs.uk

Abstract

We present our initial patient experience with an innovative temporary bridging device, the Comaneci (Rapid Medical, Israel), to assist in the coiling of cerebral aneurysms. The Comaneci device confers the same benefits as balloon remodeling but without the risks of parent artery occlusion. This alleviates time pressure on the clinician, and could reduce the risk of parent artery thrombosis. Three patients were treated with the Comaneci device. Two patients had acute ruptured posterior communicating aneurysms and one patient was treated electively for a carotico-ophthalmic aneurysm. Excellent occlusion of all three aneurysms was obtained. One patient developed a distal middle cerebral artery clot, that was treated with intravenous aspirin, with minor neurological consequences. These early results show that the Comaneci device can be used to achieve good cerebral aneurysm occlusion. Vessel patency is maintained throughout the procedure with potential advantages over conventional balloon assisted coiling.

  • Aneurysm
  • Brain
  • Angiography
  • Intervention
  • Device

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