It looks like CLSQL needs reader macros to switch the syntax on and off locally. If Arc had reader macros, then you could do this:
#.(with-A (mac macro-A ..blah..blah..in special A syntax))
Assuming 'with-A is a function that set the read table locally, and macro-A uses quasi-quote to generate its result, this will produce a macro that produces standard Arc syntax, even though it's written in A syntax.
With reader macros, 'w/html could be implemented even if de-sugaring were moved to the reader, although you'd have to call it with #. all the time.
It makes sense to me that macros should always expand to vanilla Arc syntax (or maybe even pure s-exps without any ssyntax) so that they are portable across environments.