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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References

1

Baldi SMounayer CPiotin MMoret J: Balloon-assisted coil placement in wide-neck bifurcation aneurysms by use of a new, compliant balloon microcatheter. AJNR Am J Neuroradiol 24:122212252003

2

Cottier JPPasco AGallas SGabrillargues JCognard CDrouineau J: Utility of balloon-assisted Guglielmi detachable coiling in the treatment of 49 cerebral aneurysms: a retrospective, multicenter study. AJNR Am J Neuroradiol 22:3453512001

3

Lafuente JMaurice-Williams RS: Ruptured intracranial aneurysms: the outcome of surgical treatment in experienced hands in the period prior to the advent of endovascular coiling. J Neurol Neurosurg Psychiatry 74:168016842003

4

Malek AMHalbach VVPhatouros CCLempert TEMeyers PMDowd CF: Balloon-assist technique for endovascular coil embolization of geometrically difficult intracranial aneurysms. Neurosurgery 46:139714072000

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