Abstract
This review tries to describe in a didactical and practical manner the advantages of a combined approach, showing in two cases that Endovascular Therapy and Microsurgical Brain Surgery, can work together, as the best procedure, trying to save resources, time and complications that occur when both strategies work separately. There are reports in different countries about the combination of therapies. Several years ago, we treated many patients working in a conventional surgical room, with some limitations, but recently we have been working in a hybrid surgical room, making the diagnosis, surgical and endovascular treatment in one step. As we know in vascular diseases, saving time is mandatory, and we have improved our own outcomes in ruptured brain aneurysms, and when embolization and surgical resection has been needed for arteriovenous malformations (AVMs).
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