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. 2024 Oct 17;108(1):89. doi: 10.5334/jbsr.3714

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Copyright: © 2024 The Author(s)

This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by/4.0/.

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use of the Comaneci for anterior cerebral artery vasospasm — Cerebral angioplasty of the anterior cerebral artery (ACA) using the Comaneci device in a patient with an anterior communicating artery aneurysm treated by coiling remodeling previously, and an hypoplastic right A1 segment. A. Cerebral angiogram prior to endovascular treatment of the vasospasm demonstrating severe vasospasm of the left A1, left A2 (star), and right A2 segments (arrow). B. Fluoroscopic image demonstrating angioplasty of the right A2 segment with the Comaneci over a 0.0165” microcatheter (arrow). C. Final cerebral angiogram following angioplasty demonstrating an improved caliber of the left A1, left A2 (star), and right A2 segments (arrow). D. Axial T_Max map before treatment showing a severely delayed T_Max for both ACA territory. E. Fluoroscopic image demonstrating angioplasty of the left A2 segment with the Comaneci (star). F. Axial T_Max map following treatment showing an improved T_Max for both ACA territory.