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June 6, 1966

Anterior Communicating Artery Aneurysms

JAMA. 1966;196(10):919. doi:10.1001/jama.1966.03100230163050

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To the Editor:—  Our first reaction on reading "Anterior Communicating Aneurysms: A Rebuttal" (195: 115, 1966) was that had Drs. Pool and Colton been in law and not medicine, no reply would be necessary. One cannot rebut the evidence of a careful analysis of a statistically designed study involving 457 cases by presenting one table giving the ages of a miscellany of 68 cases which suggests only that a particular surgeon is the most important prognostic factor!Drs. Pool and Colton describe their cases as "favorable-risk patients," a point made only too obvious by the reasonable surgical results. It is impossible to equate these cases with our Category B series which we specifically designated as "not deemed in immediate danger of death from the haemorrhage sustained." No surgeon with unimpaired critical faculties would assume that these groups were similar or that the results of treatment could be compared.The felony

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