The 2013 guideline suggested treating the ruptured aneurysm “as early as logistically and technically possible to reduce the risk of rebleeding; if possible, it should be aimed to intervene at least within 72 h after onset of first symptoms.” This was based on a small randomised trial, 34 which showed a trend towards better outcomes in patients operated within 3 days after the bleeding.
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European Stroke Organisation (ESO), European Association of Neurosurgical Societies (EANS) and European Society for Minimally Invasive Neurological Therapy (ESMINT) guideline on aneurysmal subarachnoid haemorrhage.
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