Endovascular aneurysm coiling has gained acceptance as an attractive and valuable alternative to neurosurgical aneurysm clipping. It is of paramount importance to realize that both treatment options are complementary and that multiple factors must be considered in the decision about management of patients with intracranial aneurysms. Multidisciplinary patient assessment is the safest strategy to select the best treatment option for the particular patient.

Future developments are expected to improve the endovascular treatment results and render more lesions amenable to coil embolization.

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