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

Autor: Molina-Nuevo JD; Radiology department, Complejo Hospitalario Universitario Albacete, Albacete, Spain. juandamoli958@gmail.com.; C. Hospitalario Universitario de Albacete, C. Hermanos Falcó nº 37. CP, 02006, Albacete, Spain. juandamoli958@gmail.com., López-Martínez L; Radiology department, Complejo Hospitalario Universitario Albacete, Albacete, Spain., Pedrosa-Jiménez MJ; Radiology department, Complejo Hospitalario Universitario Albacete, Albacete, Spain., Juliá-Molla E; Radiology department, Complejo Hospitalario Universitario Albacete, Albacete, Spain., Hernández-Fernández F; Neurology department, Complejo Hospitalario Universitario Albacete, Albacete, Spain.
Jazyk: angličtina
Zdroj: BMC neurology [BMC Neurol] 2020 Oct 22; Vol. 20 (1), pp. 384. Date of Electronic Publication: 2020 Oct 22.
DOI: 10.1186/s12883-020-01963-2
Abstrakt: 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.
Databáze: MEDLINE
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