Neurointervention cases include the following: aneurysm coiling, AVF/AVM embolizations, tumor embolizations, intra-arterial chemotherapy (retinoblastoma), vasospasm, and stroke interventions; in some instances some minimally invasive spine therapy.
Aneurysm volumes have reached a plateau. Stroke intervention volumes will probably increase, though there won't be a "flood" given that most patients don't come within the proper time windows.
Intervention is done by mostly neurosurgeons and neurologists. Neurologists will have the ability to refer to themselves for stroke interventions, since they do medical stroke therapy, but neurosurgery has a good foothold in doing those procedures as well. Radiology numbers have probably gone down quite a bit.
But in response to your original question, as technology advances, most aneurysms will be treated endovascularly, though open cases will still be around for certain special situations, based on anatomy and accessibility.
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Clipping vs Coiling
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