The Comaneci Device for Entering an Acute-Angled Small Feeder during Cerebral Arteriovenous Malformation Embolization: A Novel Technique to Support Microcatheterization

In this report, we describe the use of the Comaneci device to support microcatheterization in a small branch arising from a parent artery during embolization. In 2 cases, arteriovenous malformations presented with intracranial hemorrhage. A microcatheter was navigated into a small feeder while the C...

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Main Authors: Lars Wessels, Joost de Vries, Hieronymus D. Boogaarts
Format: Article
Language:English
Published: Korean Society of Interventional Neuroradiology 2020-07-01
Series:Neurointervention
Subjects:
Online Access:http://neurointervention.org/upload/pdf/neuroint-2020-00122.pdf
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spelling doaj-67ba1af6ddd64f5ea6ed8a94d989f36a2020-11-25T03:23:13ZengKorean Society of Interventional NeuroradiologyNeurointervention2093-90432233-62732020-07-01152798310.5469/neuroint.2020.00122289The Comaneci Device for Entering an Acute-Angled Small Feeder during Cerebral Arteriovenous Malformation Embolization: A Novel Technique to Support MicrocatheterizationLars Wessels0Joost de Vries1Hieronymus D. Boogaarts2 Department of Neurosurgery, Radboud University Medical Center, Nijmegen, The Netherlands Department of Neurosurgery, Radboud University Medical Center, Nijmegen, The Netherlands Department of Neurosurgery, Radboud University Medical Center, Nijmegen, The NetherlandsIn this report, we describe the use of the Comaneci device to support microcatheterization in a small branch arising from a parent artery during embolization. In 2 cases, arteriovenous malformations presented with intracranial hemorrhage. A microcatheter was navigated into a small feeder while the Comaneci device was deployed just distal to the feeder with an acute angle from the parent artery. Our technical note represents an alternative option of catheterization in cases with difficult access to small feeders originating from higher flow arteries at a sharp angle while maintaining continuous flow in the parent artery.http://neurointervention.org/upload/pdf/neuroint-2020-00122.pdfcomaneciarteriovenous malformationscatheterization
collection DOAJ
language English
format Article
sources DOAJ
author Lars Wessels
Joost de Vries
Hieronymus D. Boogaarts
spellingShingle Lars Wessels
Joost de Vries
Hieronymus D. Boogaarts
The Comaneci Device for Entering an Acute-Angled Small Feeder during Cerebral Arteriovenous Malformation Embolization: A Novel Technique to Support Microcatheterization
Neurointervention
comaneci
arteriovenous malformations
catheterization
author_facet Lars Wessels
Joost de Vries
Hieronymus D. Boogaarts
author_sort Lars Wessels
title The Comaneci Device for Entering an Acute-Angled Small Feeder during Cerebral Arteriovenous Malformation Embolization: A Novel Technique to Support Microcatheterization
title_short The Comaneci Device for Entering an Acute-Angled Small Feeder during Cerebral Arteriovenous Malformation Embolization: A Novel Technique to Support Microcatheterization
title_full The Comaneci Device for Entering an Acute-Angled Small Feeder during Cerebral Arteriovenous Malformation Embolization: A Novel Technique to Support Microcatheterization
title_fullStr The Comaneci Device for Entering an Acute-Angled Small Feeder during Cerebral Arteriovenous Malformation Embolization: A Novel Technique to Support Microcatheterization
title_full_unstemmed The Comaneci Device for Entering an Acute-Angled Small Feeder during Cerebral Arteriovenous Malformation Embolization: A Novel Technique to Support Microcatheterization
title_sort comaneci device for entering an acute-angled small feeder during cerebral arteriovenous malformation embolization: a novel technique to support microcatheterization
publisher Korean Society of Interventional Neuroradiology
series Neurointervention
issn 2093-9043
2233-6273
publishDate 2020-07-01
description In this report, we describe the use of the Comaneci device to support microcatheterization in a small branch arising from a parent artery during embolization. In 2 cases, arteriovenous malformations presented with intracranial hemorrhage. A microcatheter was navigated into a small feeder while the Comaneci device was deployed just distal to the feeder with an acute angle from the parent artery. Our technical note represents an alternative option of catheterization in cases with difficult access to small feeders originating from higher flow arteries at a sharp angle while maintaining continuous flow in the parent artery.
topic comaneci
arteriovenous malformations
catheterization
url http://neurointervention.org/upload/pdf/neuroint-2020-00122.pdf
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