Balloon-Assisted Coil Embolization

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To the Editor: We read the article by Sluzewski and colleagues on their experience with BACE of cerebral aneurysms with great interest. They found a complication rate of 14.1% using BACE and a 3% complication rate applying conventional CE. They conclude that “surgical clip application should be considered as a first treatment option in large and wide-necked aneurysms.”

We disagree with this statement for the following reasons.

1. The complication rate reported by Sluzewski et al. after BACE exceeds data reported in the literature by far.2,4 One reason for this may be

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