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Updated: Dec 4, 2025
Simulator Training for Endovascular Neurosurgery
Published on: May 6, 2020
Comaneci device-assisted embolization of wide-necked carotid aneurysms with an unfavorable ratio
Juan David Molina-Nuevo1,2, Lorena López-Martínez3, María José Pedrosa-Jiménez3
1Radiology department, Complejo Hospitalario Universitario Albacete, Albacete, Spain. juandamoli958@gmail.com.
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.
