Initial experience of coiling cerebral aneurysms using the new Comaneci device
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 all...
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| Veröffentlicht in: | Journal of neurointerventional surgery 2016-08, Vol.8 (8), p.e32-e32 |
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| container_title | Journal of neurointerventional surgery |
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| creator | Lawson, Aimee Louise Deborah Chandran, Arun Puthuran, Mani Goddard, Tony Nahser, Hans Patankar, Tufail |
| description | 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. |
| doi_str_mv | 10.1136/neurintsurg-2015-011726.rep |
| format | Article |
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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.</description><identifier>ISSN: 1759-8478</identifier><identifier>EISSN: 1759-8486</identifier><identifier>DOI: 10.1136/neurintsurg-2015-011726.rep</identifier><identifier>PMID: 26138730</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Adult ; Aneurysms ; Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation ; Carotid Artery Diseases - diagnostic imaging ; Carotid Artery Diseases - surgery ; Cerebral Angiography ; Equipment Design ; Female ; Hemorrhage ; Humans ; Intracranial Aneurysm - diagnostic imaging ; Intracranial Aneurysm - surgery ; Magnetic Resonance Angiography ; Male ; Middle Aged ; Ophthalmic Artery - diagnostic imaging ; Ophthalmic Artery - surgery ; Posterior Cerebral Artery - diagnostic imaging ; Posterior Cerebral Artery - surgery ; Subarachnoid Hemorrhage - diagnostic imaging ; Subarachnoid Hemorrhage - surgery ; Thromboembolism ; Treatment Outcome ; Veins & arteries ; Wire</subject><ispartof>Journal of neurointerventional surgery, 2016-08, Vol.8 (8), p.e32-e32</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><rights>Copyright: 2016 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-b286t-3424a4a008e825514d764b250b3e63ee265089d1d89b83a6e586a917397433203</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jnis.bmj.com/content/8/8/e32.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttps://jnis.bmj.com/content/8/8/e32.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,780,784,23569,27922,27923,77370,77401</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26138730$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lawson, Aimee Louise Deborah</creatorcontrib><creatorcontrib>Chandran, Arun</creatorcontrib><creatorcontrib>Puthuran, Mani</creatorcontrib><creatorcontrib>Goddard, Tony</creatorcontrib><creatorcontrib>Nahser, Hans</creatorcontrib><creatorcontrib>Patankar, Tufail</creatorcontrib><title>Initial experience of coiling cerebral aneurysms using the new Comaneci device</title><title>Journal of neurointerventional surgery</title><addtitle>J Neurointerv Surg</addtitle><description>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.</description><subject>Adult</subject><subject>Aneurysms</subject><subject>Blood Vessel Prosthesis</subject><subject>Blood Vessel Prosthesis Implantation</subject><subject>Carotid Artery Diseases - diagnostic imaging</subject><subject>Carotid Artery Diseases - surgery</subject><subject>Cerebral Angiography</subject><subject>Equipment Design</subject><subject>Female</subject><subject>Hemorrhage</subject><subject>Humans</subject><subject>Intracranial Aneurysm - diagnostic imaging</subject><subject>Intracranial Aneurysm - surgery</subject><subject>Magnetic Resonance Angiography</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Ophthalmic Artery - diagnostic imaging</subject><subject>Ophthalmic Artery - surgery</subject><subject>Posterior Cerebral Artery - diagnostic imaging</subject><subject>Posterior Cerebral Artery - surgery</subject><subject>Subarachnoid Hemorrhage - diagnostic imaging</subject><subject>Subarachnoid Hemorrhage - surgery</subject><subject>Thromboembolism</subject><subject>Treatment Outcome</subject><subject>Veins & arteries</subject><subject>Wire</subject><issn>1759-8478</issn><issn>1759-8486</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkUtLAzEUhYMotlb_ggS6cTM1j8ljllJ8FIpudB0yM7c1ZR41mVH7783QWsTVvXA-zr2cg9CUkhmlXN420HvXdKH364QRKhJCqWJy5mF7gsZUiSzRqZanx13pEboIYUOIVEKJczRiknKtOBmj50XjOmcrDN9b8A6aAnC7wkXrKtescQEech9lO1zdhTrgPgxC9w64gS88b-soFQ6X8OkKuERnK1sFuDrMCXp7uH-dPyXLl8fF_G6Z5EzLLuEpS21qCdGgmRA0LZVMcyZIzkFyACYF0VlJS53lmlsJQkubUcUzlXLOCJ-gm73v1rcfPYTO1C4UUFXxmbYPhmoSI6AsG9DpP3TT9r6J35mYHtOaKcEjdX2g-ryG0my9q63fmd-kIiD3QF5vjiolZqjE_KlkMBVmX4mJlfAfYyt_hQ</recordid><startdate>201608</startdate><enddate>201608</enddate><creator>Lawson, Aimee Louise Deborah</creator><creator>Chandran, Arun</creator><creator>Puthuran, Mani</creator><creator>Goddard, Tony</creator><creator>Nahser, Hans</creator><creator>Patankar, Tufail</creator><general>BMJ Publishing Group LTD</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>201608</creationdate><title>Initial experience of coiling cerebral aneurysms using the new Comaneci device</title><author>Lawson, Aimee Louise Deborah ; 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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.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>26138730</pmid><doi>10.1136/neurintsurg-2015-011726.rep</doi></addata></record> |
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| subjects | Adult Aneurysms Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation Carotid Artery Diseases - diagnostic imaging Carotid Artery Diseases - surgery Cerebral Angiography Equipment Design Female Hemorrhage Humans Intracranial Aneurysm - diagnostic imaging Intracranial Aneurysm - surgery Magnetic Resonance Angiography Male Middle Aged Ophthalmic Artery - diagnostic imaging Ophthalmic Artery - surgery Posterior Cerebral Artery - diagnostic imaging Posterior Cerebral Artery - surgery Subarachnoid Hemorrhage - diagnostic imaging Subarachnoid Hemorrhage - surgery Thromboembolism Treatment Outcome Veins & arteries Wire |
| title | Initial experience of coiling cerebral aneurysms using the new Comaneci device |
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