**Chapter 7 97**

Perspective Chapter: Role of Direct Surgery for Recurrent Aneurysms after Endovascular Treatment *by Tsuyoshi Izumo*

Preface

With the advancement of neuroimaging diagnostics and basic science research, numerous treatment options are now available in neurosurgery, and the choice of the most appropriate patient-tailored strategy becomes more difficult. This is especially true for cerebral aneurysms, a field of neurosurgery that experiences continuous and profound changes both in terms of approach and prognosis. For example, we are now dealing with an increasing number of patients who survive after an aneurysm' rupture and treatment, and with these patients comes the challenge of recurrent aneurysms and their implications. This book provides insight into new and emerging technologies and information that are pushing the boundaries and defining the

Chapters 1–4 present some of the latest advancements, from the pathophysiology of early subarachnoid hemorrhage to the implementation of artificial intelligence into clinical practice. Chapters 5–7 discuss operative surgical management of a cerebral aneurysm, both on the first approach and during challenging recurrent surgery, highlighting the intraoperative tools that can help maximize patient safety.

**Alba Scerrati and Giorgio Mantovani**

Department of Neurosurgery,

University of Ferrara

Ferrara, Italy

This book is a valuable resource for experienced professionals as well as those

landscape of cerebral aneurysm treatment.

approaching this topic for the first time.
