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Letters to the Editor
Successful endovascular treatment of three fusiform cerebral aneurysms with the Pipeline Embolization Device in a patient with dilating HIV vasculopathy
  1. Bruno Law-Ye1,
  2. Didier Dormont1,
  3. Jacques Chiras1,
  4. Robert-Yves Carlier2,
  5. Frédéric Clarençon1
  1. 1Department of Neuroradiology, Groupe Hospitalier Pitié Salpêtriére, APHP, Paris, France; Pierre et Marie Curie Faculty of Medicine, Paris, France
  2. 2Department of Radiology, Hôpital Raymond Poincaré, APHP, Garches, France; Simone Veil Faculty of Medicine, Montigny-Le-Bretonneux, France
  1. Correspondence to Dr Bruno Law-Ye, Groupe Hospitalier Pitié Salpêtrière, 47–83 boulevard de l'hôpital, Paris 75013, France; brunolawye{at}

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We read with much interest the recent paper by Delgado et al. 1 Credit must be given to the authors for several points: first, it is a first-time reported treatment with a flow diverter stent in this rare type of HIV vasculitis; second, from a technical viewpoint, good vascular remodeling was indeed obtained from stenting, as nicely shown in their well-illustrated paper; third, few studies have discussed the indications for endovascular therapy in such arteriopathies.

However, we would like to formulate major differences of opinion about such a procedure in light of our institutional experience and other published data:

  • First, these fusiform HIV-related aneurysms are not usually complicated with …

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