The Comaneci Embolization Assist Device is indicated for use in the neurovasculature as a temporary endovascular device used to assist in the coil embolization of wide-necked intracranial aneurysms with a neck width ≤ 10 mm. A wide-necked intracranial aneurysm (IA) defines the neck width as ≥ 4 mm or a dome-to-neck ratio \< 2. The objective of the Postmarket Surveillance Plan is to assess safety and performance as used in postmarket clinical practice in the U.S.
Study Type
OBSERVATIONAL
Enrollment
90
assist in the coil embolization of wide-necked intracranial aneurysms with a neck width ≤ 10 mm.
USA Health University Hospital
Mobile, Alabama, United States
Carondelet St. Joseph's Hospital (Tenet)
Tucson, Arizona, United States
Santa Barbara Cottage
Santa Barbara, California, United States
Los Robles
Thousand Oaks, California, United States
Periprocedural Events
Rates of all adverse events occurring within 24 hours post-procedure and hospital discharge status.
Time frame: 24 Hours post procedure
Adverse Events
All adverse events at discharge and up to 30 days post procedure.
Time frame: 30 days post procedure
Functional Status
Functional status at discharge and 30 days assessed using the modified Rankin Scale (mRS). using the modified Rankin Scale (mRS). This scale runs from 0-6, from no symptoms to death as follows: * 0 - No symptoms * 1 - No significant disability. Able to carry out all usual activities, despite some symptoms. * 2 - Slight disability. Able to look after own affairs without assistance, but unable to carry out all previous activities. * 3 - Moderate disability. Requires some help, but able to walk unassisted. * 4 - Moderately severe disability. Unable to attend to own bodily needs without assistance, and unable to walk unassisted. * 5 - Severe disability. Requires constant nursing care and attention, bedridden, incontinent. * 6 - Dead.
Time frame: 30 days post procedure
Number of Participants With Successful Intracranial Aneurysm Occlusion
Successful intracranial aneurysm occlusion (measured by Raymond Roy classification I or II) at the end of procedure, using digital subtraction angiography (DSA).
Time frame: end of procedure
Number of Participants With Successful Intracranial Aneurysm (IA) Occlusion
Successful intracranial aneurysm (IA) occlusion, that is a stable IA occlusion, measured by Raymond Roy classification I or II taken at 6 months (± 21d) post procedure without the need for re-treatment of the target IA, using DSA.
Time frame: 6 Months Post procedure
Number of Participants With Good Clinical Outcome
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Baptist Health Research Institute
Jacksonville, Florida, United States
St. Mary's Medical Ctr (Tenet)
West Palm Beach, Florida, United States
University of Buffalo
Buffalo, New York, United States
Texas Stroke Institute (Sarah Cannon TN)
Dallas, Texas, United States
Good clinical outcome- mRS shift @ 6 months (change @ 6 months from pre procedure) and tetrachotomized (0,1, 2, 3-6) mRS analysis
Time frame: 6 Months Post procedure