[How We Do It (2)].

The treatment landscape for ruptured cerebral aneurysms is undergoing a paradigm shift. While endovascular therapy is increasingly favored, the future demands minimally invasive approaches that prioritize both safety and a definitive cure. At our center, we meticulously tailor the treatment strategy for ruptured aneurysms to each patient. This strategy considers the aneurysm's morphology, patient characteristics, and the crucial balance between invasiveness, safety, and achieving a cure. Notably, in the hybrid era, we strive to maintain a strong foundation in both direct surgical and endovascular techniques. This ensures that our surgeons can continue to provide future patients with safe and highly curative treatment options.