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BMC Neurology
Published in: BMC Neurology 1/2020

Open Access 01-12-2020 | Subarachnoid Hemorrhage | Research article

Comaneci device-assisted embolization of wide-necked carotid aneurysms with an unfavorable ratio

Authors: Juan David Molina-Nuevo, Lorena López-Martínez, María José Pedrosa-Jiménez, Enrique Juliá-Molla, Francisco Hernández-Fernández

Published in: BMC Neurology | Issue 1/2020

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Abstract

Background

Endovascular treatment is the technique of choice for most intracranial aneurysms. However, the treatment of morphologically complex wide-necked aneurysms with an unfavorable anatomy is still a therapeutic challenge.
The purpose of the study is to describe the initial experience with the Comaneci embolization assist device for the treatment of wide-necked aneurysms with an unfavorable ratio for direct embolization.

Methods

We report a retrospective single-center analysis taken from a prospective database of consecutive aneurysms of the anterior circulation treated using the Comaneci device in the period from March 2017 to March 2019.

Results

Eighteen aneurysms were collected from 16 patients (9 women and 7 men) treated using the Comaneci device. The mean age was 48.4 years (range 36–81). Twelve patients had SAH, three were incidental aneurysms and one had compressive symptoms. A complete asymptomatic occlusion rate of 88.8% was obtained. The major complication rate was 5.55%.

Conclusion

The Comaneci embolization assist device is a safe, effective option for endovascular treatment of complex aneurysms with an unfavorable ratio.
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Metadata
Title
Comaneci device-assisted embolization of wide-necked carotid aneurysms with an unfavorable ratio
Authors
Juan David Molina-Nuevo
Lorena López-Martínez
María José Pedrosa-Jiménez
Enrique Juliá-Molla
Francisco Hernández-Fernández
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Neurology / Issue 1/2020
Electronic ISSN: 1471-2377
DOI
https://doi.org/10.1186/s12883-020-01963-2

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