The combination of endovascular and surgical techniques for the treatment of intracranial aneurysms

Inclusion of endovascular techniques into a comprehensive intracranial aneurysm treatment program beneficially extends the options for treatment and appears to enhance the safety and efficacy of aneurysm treatment: Endovascular therapy should be considered a welcome addition to the array of techniques available for aneurysm treatment. The selection of surgical or endovascular treatment for ruptured and unruptured intracranial aneurysms requires an understanding of the relative physical, anatomical, and physiological characteristics of both endovascular and surgical treatments. The selection of treatment for any individual patient requires a careful consideration of aneurysm-specific and patient-specific characteristics. The availability of both high-quality neurosurgical and endovascular treatments for intracranial aneurysms can be expected to provide clinical outcomes superior to those that can be achieved by either method in isolation.