, Volume 61, Issue 3, pp 243–244 | Cite as

Wide-neck aneurysms: which technique should we use?

  • Laurent PierotEmail author
Letter to the Editor

Dear Editor-in-Chief,

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) [1]. 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%.

However, several points are a matter of debates in this paper:
  1. 1.

    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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    Velasco Gonzalez A, Stracke P, Nordmeyer H et al (2018) Low rates of recanalization for wide-neck aneurysms treated with stenting after balloon-assisted coiling: combination of techniques delivers stable and improved results during follow-up. Neuroradiology 60:1223–1230CrossRefPubMedGoogle Scholar
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© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Neuroradiology DepartmentHôpital Maison Blanche, CHU ReimsReimsFrance

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