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Technical video
Use of a neck-bridging device for endovascular coiling of a wide-necked middle cerebral artery aneurysm
  1. Rimal Dossani1,2,
  2. Muhammad Waqas1,2,
  3. Justice O Agyei1,2,
  4. Michael K Tso1,2,
  5. Gary B Rajah1,2,
  6. Swetadri Vasan Setlur Nagesh1,3,
  7. Jason M Davies4
  1. 1 Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA
  2. 2 Department of Neurosurgery, Gates Vascular Institute at Kaleida Health, Buffalo, New York, USA
  3. 3 Canon Stroke and Vascular Research Center, University at Buffalo, Buffalo, New York, USA
  4. 4 Departments of Neurosurgery and Bioinformatics, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA
  1. Correspondence to Dr Jason M Davies, Neurosurgery, University at Buffalo, State University of New York, Buffalo, NY 14203, USA; jdavies{at}ubns.com

https://doi.org/10.1136/neurintsurg-2019-015639

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    Abstract

    Endovascular treatment of wide-necked bifurcation intracranial aneurysms is technically challenging, often requiring adjunctive devices such as stents or balloons to maintain coil mass within the aneurysm sac. Comaneci is a radiopaque embolization-assist device that can be temporarily deployed in the parent artery across the aneurysm neck without arresting blood flow for remodeling of coil mass. It is removed …

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    Footnotes

    • Contributors Conception and design: all authors. Acquisition of data: all authors. Analysis and interpretation of data: all authors. Drafting the abstract: JOA, MW. Producing the video: RHD. Critically revising the submission: all authors. Reviewed submitted version: all authors.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests JMD: Research grant: National Center for Advancing Translational Sciences of the National Institutes of Health under award number KL2TR001413 to the University at Buffalo. Consulting: Medtronic; Honoraria: Neurotrauma Science, LLC; shareholder/ownership interests: RIST Neurovascular, Cerebrotech.

    • Patient consent for publication Obtained.

    • Ethics approval Institutional review board approval was deemed unnecessary.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Author note Video: ©University at Buffalo, November 2019. With permission.