gms | German Medical Science

67. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
Joint Meeting mit der Koreanischen Gesellschaft für Neurochirurgie (KNS)

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

12. - 15. Juni 2016, Frankfurt am Main

Artikel

Artikel empfehlen

Coiling of wide-necked intracranial aneurysms assisted by a temporary bridging device (Comaneci) – preliminary experience

Meeting Abstract

Suche in Medline nach

  • Sebastian Fischer - Institut für Diagnostische und Interventionelle Radiologie, Neuroradiologie und Nuklearmedizin, Universitätsklinikum Knappschaftskrankenhaus Bochum, Germany
  • Anushe Weber - Institut für Diagnostische und Interventionelle Radiologie, Neuroradiologie und Nuklearmedizin, Universitätsklinikum Knappschaftskrankenhaus Bochum, Germany
  • Finn Drescher - Institut für Diagnostische und Interventionelle Radiologie, Neuroradiologie und Nuklearmedizin, Universitätsklinikum Knappschaftskrankenhaus Bochum, Germany
  • Werner Weber - Institut für Diagnostische und Interventionelle Radiologie, Neuroradiologie und Nuklearmedizin, Universitätsklinikum Knappschaftskrankenhaus Bochum, Germany

Deutsche Gesellschaft für Neurochirurgie. 67. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 1. Joint Meeting mit der Koreanischen Gesellschaft für Neurochirurgie (KNS). Frankfurt am Main, 12.-15.06.2016. Düsseldorf: German Medical Science GMS Publishing House; 2016. DocDI.16.04

doi: 10.3205/16dgnc191, urn:nbn:de:0183-16dgnc1916

Veröffentlicht: 8. Juni 2016

© 2016 Fischer et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objective: Endovascular treatment of wide-necked aneurysms remains challenging without the use of adjunctive devices to preserve the parent artery. We 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. A permanent dual antiplatelet therapy is not required since the device is fully removed at the end of the procedure.

Method: All intracranial aneurysms treated by coil occlusion with the Comaneci device between 12/2014 and 11/2015 were included. Angiographic and clinical results were retrospectively analyzed including follow-up examinations. All aneurysms were unruptured.

Results: 15 aneurysms of the internal carotid artery were included. Successful coil occlusion assisted by the Comaneci device as intended was possible in 11 cases (73.0%). Insufficient coverage of the aneurysmal neck was observed in 4 cases (26%) with modification of the treatment concept to stent assisted coiling (n=1), remodeling technique (n=2) and sole coiling (n=1). One clinically relevant complication occurred (6.6%).

Conclusions: Our initial experience reveals that the Comaneci device is technically straightforward for the treatment of selected wide-necked aneurysms with a high likelihood of failure with conventional endovascular or microsurgical techniques. Further studies with long-term follow-up data are needed to identify the significance of the presented technique in the neurointerventional armamentarium.