ABSTRACT
Hybrid operating room can provide a wonderful platform for the integration ofopen surgery, endovascular treatmentand radiological examinations,making high-quality imaging guided neurosurgery possible. In recent years, there were many reports on hybrid operations thatcombining microsurgery and endovascular technique) for the treatment of cerebrovascular diseases, including complex intracranial aneurysms (giant, fusiform and wide-neck, etc), complcx arteriovenous malformations (AVM) especially those with high Spetzler-Martin grade(IV-V) .complex arteriovenous fistulas (AVF) that cannot be repaired by the traditional treatment, and tandem stenoses of innominate artery, common carotid artery and carotid bifurcation. In hybrid operation, the efficacy can be evaluated in real time,so that treatment process is simplified and medical cost is lowered, offering new opportunities and challenges for the treatment of complex cerebrovascular diseases,but there are still some problems to be solved by further research and development.