Dual microcatheter technique

Congratulations to Starke et al on their experience with the dual microcatheter technique for wide-necked intracranial aneurysms and careful comparison with the stent-assisted approach.1 I appreciate their acknowledgement of my first conception of the technique.2 I would clarify that in our original report the technique was not used for 'rescue' as the authors state. Rather, we observed coil instability in the sac and/or coil herniation through the neck during deployment from a single microcatheter. These remain the main indications today. Its use for endovascular rescue3 following coil perforation arose later and is another good indication.

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Competing interests

None declared.

Provenance and peer review

Not commissioned; internally peer reviewed.

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