title: Coiling of wide-necked carotid artery aneurysms assisted by a temporary bridging device (Comaneci): preliminary experience.
abstract: BACKGROUND
  Endovascular treatment of wide-necked aneurysms remains challenging without the use of adjunctive devices to preserve the parent artery.
  
  
  OBJECTIVE
  To present our initial experience with a temporary bridging device, the Comaneci (Rapid Medical, Israel). The compliant remodeling mesh protects the parent artery during coil occlusion without flow arrest in the distal vasculature. Permanent dual antiplatelet therapy is not required since the device is fully removed at the end of the procedure.
  
  
  METHODS
  All intracranial aneurysms treated by coil occlusion with the Comaneci device between December 2014 and November 2015 were included. Angiographic and clinical results were retrospectively analysed, including follow-up examinations. All aneurysms were unruptured.
  
  
  RESULTS
  18 aneurysms of the internal carotid artery were included. Successful coil occlusion assisted by the Comaneci device as intended was possible in 14 cases (77.8%). Insufficient coverage of the aneurysmal neck was observed in four cases (22.2%), with modification of the treatment to stent-assisted coiling or remodeling. One clinically relevant complication occurred (5.6%).
  
  
  CONCLUSIONS
  Our initial experience shows that use of the Comaneci device is straightforward for the treatment of selected wide-necked aneurysms. Further studies with long-term follow-up data are needed to identify the significance of the presented technique in the neurointerventional armamentarium.
authors.affiliation: Knappschaftskrankenhaus Bochum-Langendreer-Universitätsklinik-Institut für diagnostische und Interventionelle Radiologie, Neuroradiologie, Nuklearmedizin, Bochum, Germany.
authors.forename: S
authors.initials: S
authors.lastname: Fischer
authors.affiliation: Knappschaftskrankenhaus Bochum-Langendreer-Universitätsklinik-Institut für diagnostische und Interventionelle Radiologie, Neuroradiologie, Nuklearmedizin, Bochum, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Weber
authors.affiliation: Knappschaftskrankenhaus Bochum-Langendreer-Universitätsklinik- Klinik für Neurochirurgie, Bochum, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Carolus
authors.affiliation: Knappschaftskrankenhaus Bochum-Langendreer-Universitätsklinik-Institut für diagnostische und Interventionelle Radiologie, Neuroradiologie, Nuklearmedizin, Bochum, Germany.
authors.forename: F
authors.initials: F
authors.lastname: Drescher
authors.affiliation: Medizinische Hochschule Hannover, Institut für Diagnostische und Interventionelle Neuroradiologie, Hannover, Germany.
authors.forename: F
authors.initials: F
authors.lastname: Götz
authors.affiliation: Knappschaftskrankenhaus Bochum-Langendreer-Universitätsklinik-Institut für diagnostische und Interventionelle Radiologie, Neuroradiologie, Nuklearmedizin, Bochum, Germany.
authors.forename: W
authors.initials: W
authors.lastname: Weber
mesh_terms: D000328:Adult; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging* / Q000601:surgery*; D004621:Embolization, Therapeutic / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015607:Stents; D013526:Surgical Mesh / Q000706:statistics & numerical data; D016896:Treatment Outcome
keywords: Aneurysm; Angiography; Balloon; Device; Intervention