• World Neurosurg · Sep 2020

    Case Reports

    Comaneci-Assisted Coiling Embolization of a Post-Traumatic Carotid-Cavernous Fistula: Case Report.

    • Andrea Giorgianni, Edoardo Agosti, Alberto Vito Terrana, Gabriele Vinacci, Luca Nativo, Luca Valvassori, Davide Locatelli, and Giuseppe Lanzino.
    • Department of Neuroradiology, ASST Sette Laghi, University of Insubria, Varese, Italy.
    • World Neurosurg. 2020 Sep 1; 141: 166-170.

    BackgroundA direct carotid-cavernous fistula (CCF) is a rare complication that typically occurs in closed head injuries. The balloon-assisted occlusion is the most used treatment. However, this technique requires multiple inflation/deflations, which could be problematic in a vessel with acute vessel injury.Case DescriptionIn this study we reported a case of 72-year-old male patient with posttraumatic CCF, treated endovascularly with a transarterial Comaneci-assisted coiling embolization, highlighting the advantages and pitfalls of this innovative endovascular treatment.ConclusionsThe Comaneci-assisted coiling technique has proven to be advantageous both in the microcatheterization of the CCF and during coiling with remodeling technique. In addition, this device does not interrupt the vascular flow compared to balloon-assisted coiling and does not require long-term antiaggregation therapy with respect to the stent placement.Copyright © 2020 Elsevier Inc. All rights reserved.

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