Wide-neck aneurysms: which technique should we use?
We have read with a great interest the impressive paper of Velasco-Gonzalez et al. suggesting that combination of balloon-assisted coiling (BAC) and stenting is an interesting technique to treat wide-neck aneurysms (WNA) . The authors have to be congratulated for the high quality of their results with morbimortality at 4.6% (including mortality 1.1%) and complete aneurysm occlusion at long-term follow-up in 81.2%.
Interestingly, this paper is showing that BAC, widely used in this center (more than 10 procedures per month) is not always sufficient to treat WNA as the additional use of a stent was needed in 26%.
The methodology is debatable. Indeed, the title and the conclusion of the paper are somewhere suggesting that the combination of balloon-assisted coiling and stenting are part of a global strategy of treatment decided before the beginning of the procedure. However, the Methods section...
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Conflict of interest
LP consults for Balt, Microvention, Penumbra, Phenox and Vesalio.
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