The Comaneci Device for Entering an Acute-Angled Small Feeder during Cerebral Arteriovenous Malformation Embolization: A Novel Technique to Support Microcatheterization
10.5469euroint.2020.00122
- Author:
Lars WESSELS
1
;
Joost DE VRIES
;
Hieronymus D. BOOGAARTS
Author Information
1. Department of Neurosurgery, Radboud University Medical Center, Nijmegen, The Netherlands
- Publication Type:Technical Note
- From:Neurointervention
2020;15(2):79-83
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
