PT - JOURNAL ARTICLE AU - Aimee Louise Deborah Lawson AU - Arun Chandran AU - Mani Puthuran AU - Tony Goddard AU - Hans Nahser AU - Tufail Patankar TI - Initial experience of coiling cerebral aneurysms using the new Comaneci device AID - 10.1136/bcr-2015-011726 DP - 2015 Jun 27 TA - BMJ Case Reports PG - bcr2015011726 VI - 2015 4099 - http://casereports.bmj.com/content/2015/bcr-2015-011726.short 4100 - http://casereports.bmj.com/content/2015/bcr-2015-011726.full AB - We present our initial patient experience with an innovative temporary bridging device, the Comaneci (Rapid Medical, Israel), to assist in the coiling of cerebral aneurysms. The Comaneci device confers the same benefits as balloon remodeling but without the risks of parent artery occlusion. This alleviates time pressure on the clinician, and could reduce the risk of parent artery thrombosis. Three patients were treated with the Comaneci device. Two patients had acute ruptured posterior communicating aneurysms and one patient was treated electively for a carotico-ophthalmic aneurysm. Excellent occlusion of all three aneurysms was obtained. One patient developed a distal middle cerebral artery clot, that was treated with intravenous aspirin, with minor neurological consequences. These early results show that the Comaneci device can be used to achieve good cerebral aneurysm occlusion. Vessel patency is maintained throughout the procedure with potential advantages over conventional balloon assisted coiling.