When an aneurysm ruptures and bleeds and arrives at the hospital with a clear diagnosis, there is a choice before the physician and the patient’s family: is interventional embolization or open clamping better? Recently, researchers published a paper aimed at analyzing the clinical outcomes of microsurgical clamping versus endovascular intervention for intracranial aneurysms. According to the study, there is no significant difference between microsurgical clamping and endovascular intervention for intracranial aneurysm treatment, and both can effectively improve patients’ clinical symptoms and reduce complications. The best treatment plan should be selected according to the patient’s physical condition, aneurysm site, shape, intracranial hemorrhage, hydrocephalus, intracranial pressure and economic ability, so as to improve the survival rate.