With the maturity and popularization of cerebral angiography, physicians at all levels of hospitals and patients’ families have a deepening understanding of cerebral aneurysms, and aneurysm treatment modalities, influencing factors, and prognosis have become the focus of concern for patients’ families, and the results of the analysis of ruptured aneurysm cases by a scientific research institution, summarized below, may be helpful for our choices: Relevant prospective and retrospective studies have mentioned that, the longer the pre-treatment time, the higher the incidence of rebleeding before treatment, and the poorer the prognosis. the higher the incidence of rebleeding before treatment and the worse the prognosis. Embolization of aneurysms in the middle of the brain is more difficult due to morphology, and aneurysms in this area are more amenable to craniotomy than in other areas. Craniotomy for posterior circulation aneurysms is usually more difficult and embolization is more effective. Craniotomy treatment of aneurysms of the cavernous sinus segment and internal carotid artery is also difficult, and embolization is relatively easy to manage when comparing the two modalities, and both methods can reduce the compression symptoms of the aneurysm. The patient’s general condition and posthemorrhagic complications also have an impact on the choice of treatment. If a large hematoma is found with a severe occupying effect, craniotomy is preferred to remove the hematoma to reduce the cranial pressure; if the patient’s neurologic function score is poor or the brain is significantly distended, this will increase the risk of surgery. However, the impact on endovascular treatment is relatively minor. Some patients may also be treated with a combination of embolization and surgical decompression. Ideally, the choice of treatment should be decided by both the surgeon and the endovascular therapist after angiography. If the patient’s condition permits, endovascular treatment of the aneurysm should be performed immediately after imaging to reduce the time between SAH and treatment and to reduce the risk of rebleeding within a few hours. The skill level of the operator and the medical center in which he or she works also have a major impact on the patient’s prognosis. The skill level of the operator in spring coil embolization will continue to improve with experience. Many factors need to be considered in the selection of endovascular cases, including the general condition of the patient, the characteristics of the aneurysm, the quality of the hospital’s equipment, and the skill and experience of the clinician.