Comaneci for Vasospasm
Unique case of #Comaneci_Assisted_Angioplasty (CAA) for a SAH-induced Vasospasm:
55/F Post partially coiling ACom ruptured aneurysm 7 days ago.
Developed severe symptomatic vasospasm in multiple segments in the Anterior and Posterior circulation.
Total of 20 angioplasties with #Comaneci17 Including P1-P2 PCA, ICA, A2, M2 segments. Concerning A1 LACA angioplasty, I had to traverse ACOM-Rt. A1-Rt. MCA to make sure that the Comaneci is well-opened in a straight segment (device alignment).
Each deployment of Comaneci lasted 3 minutes with concomitant IA Nimodipine administration through intermediate guiding catheter.
The patient was treated daily for 4 days. Control head CT excluded any new ischemic lesions in the interval period. Clinically the patient returned to a full consciousness with no new focal neurological deficit comparing to baseline.