Comaneci-Assisted Coiling of Wide-Necked Intracranial Aneurysm: A Single-Center Preliminary Experience.
Gabriele VinacciAngelica CelentanoEdoardo AgostiAlberto Vito TerranaFrancesco Alberto VizzariLuca NativoFabio BaruzziAntonio TabanoDavide LocatelliAndrea GiorgianniPublished in: Journal of clinical medicine (2022)
Though long-term follow-up data and larger case series are needed, this preliminary study showed the feasibility of the Comaneci-assisted coiling method for both ruptured and unruptured wide-neck intracranial aneurysms, with similar occlusion rates as balloon-assisted coiling. However, we registered high incidence of thromboembolic complications; these were probably related to the lack of heparin administration. The main advantageous application of this technique is likely in cases of ruptured intracranial aneurysms, as there is no need for post-procedural antiplatelet therapy.
Keyphrases
- antiplatelet therapy
- internal carotid artery
- abdominal aortic aneurysm
- acute coronary syndrome
- percutaneous coronary intervention
- risk factors
- subarachnoid hemorrhage
- endovascular treatment
- coronary artery
- middle cerebral artery
- venous thromboembolism
- electronic health record
- brain injury
- optical coherence tomography
- childhood cancer