If the inline PDF is not rendering correctly, you can download the PDF file here.
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
CottierJPPascoAGallasSGabrillarguesJCognardCDrouineauJ: Utility of balloon-assisted Guglielmi detachable coiling in the treatment of 49 cerebral aneurysms: a retrospective, multicenter study. AJNR Am J Neuroradiol22:345–3512001
LafuenteJMaurice-WilliamsRS: Ruptured intracranial aneurysms: the outcome of surgical treatment in experienced hands in the period prior to the advent of endovascular coiling. J Neurol Neurosurg Psychiatry74:1680–16842003