title: Initial experience of coiling cerebral aneurysms using the new Comaneci device.
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.
authors.affiliation: Department of Neurosurgery, Leeds Teaching Hospital, Leeds, UK.
authors.forename: Aimee Louise Deborah
authors.initials: AL
authors.lastname: Lawson
authors.affiliation: Department of Neuroradiology, The Walton Centre, Liverpool, UK.
authors.forename: Arun
authors.initials: A
authors.lastname: Chandran
authors.affiliation: Department of Neuroradiology, The Walton Centre, Liverpool, UK.
authors.forename: Mani
authors.initials: M
authors.lastname: Puthuran
authors.affiliation: Department of Neuroradiology, Leeds Teaching Hospital, Leeds, UK.
authors.forename: Tony
authors.initials: T
authors.lastname: Goddard
authors.affiliation: Walton Centre for Neurology and Neurosurgery, Liverpool, UK.
authors.forename: Hans
authors.initials: H
authors.lastname: Nahser
authors.affiliation: Department of Neuroradiology, Leeds Teaching Hospital, Leeds, UK.
authors.forename: Tufail
authors.initials: T
authors.lastname: Patankar
mesh_terms: D000328:Adult; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D002533:Cerebral Angiography; D004867:Equipment Design; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D009880:Ophthalmic Artery / Q000000981:diagnostic imaging / Q000601:surgery; D020769:Posterior Cerebral Artery / Q000000981:diagnostic imaging / Q000601:surgery; D013345:Subarachnoid Hemorrhage / Q000000981:diagnostic imaging / Q000601:surgery; D016896:Treatment Outcome
keywords: Aneurysm; Angiography; Brain; Device; Intervention