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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. 1Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA
  2. 2Department of Neurosurgery, Gates Vascular Institute at Kaleida Health, Buffalo, New York, USA
  3. 3Canon Stroke and Vascular Research Center, University at Buffalo, Buffalo, New York, USA
  4. 4Departments 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

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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.

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