Vascular neurosurgery following the International Subarachnoid Aneurysm Trial: modern practice reflected by subspecialization

Abstract

Despite a trend to prefer coiling for ruptured aneurysms, the authors have shown that there is still a vital role for open surgery in the management of the ruptured and unruptured aneurysm. They consider the remaining role for surgery for arteriovenous malformations within the modern era of endovascular therapy.