{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T23:51:50Z","timestamp":1763077910535,"version":"3.27.0"},"reference-count":30,"publisher":"Ubiquity Press, Ltd.","issue":"1","license":[{"start":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T00:00:00Z","timestamp":1729123200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBSR"],"abstract":"<jats:p>Background and purpose: Cerebral vasospasm (CV) following aneurysmal subarachnoid hemorrhage (aSAH) may lead to morbidity and mortality. Endovascular mechanical angioplasty may be performed if symptomatic CV is refractory to noninvasive medical management. Compliant and noncompliant balloons and manually adjustable mesh may be used in this indication. We describe our initial experience with the Comaneci (Rapid Medical, Yokneam, Israel) in cerebral vasospasm treatment following aSAH.\nMethods: All patients included in the prospective observational SAVEBRAIN PWI (NCT05276934 on clinicaltrial.gov) study who underwent cerebral angioplasty using the Comaneci device for the treatment of medically refractory and symptomatic CV after aSAH were identified. Patient demographic information, procedural details, and outcomes were obtained from electronic medical records.\nResults: Between February 2022 and June 2023, seven consecutive patients underwent CV treatment with the Comaneci. Angioplasty of 37 arterial segments (supraclinoid internal carotid artery, A1, A2, and A3 segments of the anterior cerebral artery and M1 and M2 segments of the middle cerebral artery) was attempted, and 35\/37 (95%) were performed. The vessel diameter improved significantly following angioplasty (+64%), while brain hypoperfusion decreased (\u221245% of the mean TMax). There was no long-term clinical complication, and 6% per-procedural complications occurred.\nConclusions: The Comaneci is effective in the treatment of cerebral vasospasm following aSAH, bringing a new device in the armamentarium of the neurointerventionalist to perform intracranial angioplasty.<\/jats:p>","DOI":"10.5334\/jbsr.3714","type":"journal-article","created":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T11:07:48Z","timestamp":1729163268000},"page":"89","source":"Crossref","is-referenced-by-count":4,"title":["Treatment of Cerebral Vasospasm after Aneurysmal Subarachnoid Hemorrhage Using the Compliant Manually Adjustable Mesh Comaneci"],"prefix":"10.5334","volume":"108","author":[{"given":"Guenego","family":"Adrien","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamza Adel","family":"Salim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maud","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremy J.","family":"Heit","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niloufar","family":"Sadeghi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"No\u00e9mie","family":"Ligot","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valentina","family":"Lolli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fadi","family":"Tannouri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio Silvio","family":"Taccone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Boris","family":"Lubicz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3285","published-online":{"date-parts":[[2024,10,17]]},"reference":[{"issue":"19","key":"key20241017110730_r1","doi-asserted-by":"crossref","first-page":"1494","DOI":"10.1212\/WNL.0b013e3181dd42b3","article-title":"Time trends in outcome of subarachnoid hemorrhage: Population\u2011based study and systematic review","volume":"74","year":"2010","journal-title":"Neurology"},{"key":"key20241017110730_r2","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1186\/1478-7547-8-6","article-title":"Burden of disease and costs of aneurysmal subarachnoid haemorrhage (aSAH) in the United Kingdom","volume":"8","year":"2010","journal-title":"Cost Eff Resour Alloc"},{"issue":"1","key":"key20241017110730_r3","doi-asserted-by":"crossref","first-page":"106201","DOI":"10.1016\/j.jstrokecerebrovasdis.2021.106201","article-title":"Case\u2011Fatality and functional outcome after subarachnoid hemorrhage (SAH) in INternational STRoke oUtComes sTudy (INSTRUCT)","volume":"31","year":"2022","journal-title":"J Stroke Cerebrovasc Dis"},{"issue":"3","key":"key20241017110730_r4","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1161\/01.STR.28.3.660","article-title":"Case\u2011fatality rates and functional outcome after subarachnoid hemorrhage: A systematic review","volume":"28","year":"1997","journal-title":"Stroke"},{"issue":"Pt1","key":"key20241017110730_r5","first-page":"5","article-title":"A clinical review of cerebral vasospasm and delayed ischaemia following aneurysm rupture","volume":"110","year":"2011","journal-title":"Acta Neurochir Suppl"},{"key":"key20241017110730_r6","doi-asserted-by":"crossref","unstructured":"Diringer MN, Bleck TP, Claude Hemphill J, 3rd, et al., Critical care management of patients following aneurysmal subarachnoid hemorrhage: Recommendations from the Neurocritical Care Society\u2019s Multidisciplinary Consensus Conference. 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