Vasospasm post-SAH treated with Comaneci 17
Patient (F) developed severe cerebral vasospasm on day one post-coiling of a ruptured ICA aneurysm. Symptoms included left-sided hemiplegia and the patient was brought in for a cerebral angiogram.
First-line treatment was intra-arterial nimodipine to which there was
insufficient response. #Comaneci17 was chosen for the treatment in favor over a balloon, particularly because of the short M1. The Comaneci was inflated on multiple locations in the M1 and both M2 branches. Each inflation lasted about 2 minutes. The patient significantly improved angiographically and the hemiplegia resolved
Courtesy of Dr. E. Celik, Chief physician of interventional radiology & neuroradiology department, Krankenhaus Ludmillenstift, Meppen, Germany. Thank you for sharing your case, Dr. Celik!