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Section I Trends in Neurovascular Medicine1 Trends in Neurovascular Surgery2 Trends in Endovascular Surgery3 Novel Approaches to Neurovascular Diseases4 Implications of Trends in the Marketplace for Neurovascular Diseases5 Neuroendovascular Diseases: Past, Present, and FutureSection II Clinical ControversiesA Unruptured Aneurysms6 Unruptured Aneurysms: A Neurological Perspective7 Unruptured Aneurysms: A Surgical PerspectiveB Anterior Circulation Aneurysms8 Surgical Treatment of Anterior Circulation Aneurysms9 Endovascular Treatment of Anterior Circulation AneurysmsC Posterior Circulation Aneurysms10 Surgical Treatment of Posterior Circulation Aneurysms11 Endovascular Treatment of Posterior Circulation AneurysmsD Arteriovenous Malformations12 Surgical Treatment of Cerebral Arteriovenous Malformations13 Endovascular Treatment of Arteriovenous Malformations14 Radiosurgical Treatment of Arteriovenous MalformationsE Arteriovenous Fistulas15 Surgical Treatment of Intracranial Dural Arteriovenous Fistulas16 Endovascular Treatment of Dural Arteriovenous FistulasF Extracranial Therosclerotic Disease17 Surgical Treatment of Extracranial Vascular Occlusive Disease18 Endovascular Revascularization of Carotid Artery DiseaseG Intracranial Atherosclerotic Disease19 Diagnosis and Medical and Endovascular Treatment of Intracranial Atherosclerotic DiseaseH Cavernous Malformations20 Microsurgical Treatment of Cavernous Malformations21 Observation of Cavernous MalformationsSection III The Practice of Neurovascular MedicineA Practice Structures22 The Departmental Model for Practice23 The Institutional Model for Practice: An Interventional Neurovascular Program Within an Academic Neurological Surgery Department24 The Neurovascular Center Model for PracticeB Regionalization of Neurovascular Care25 Regionalization of Neurovascular MedicineC Data Collection26 Resolving Controversy and Uncertainty with Evidence in Neurovascular MedicineD Residency and Fellowship Training Objectives27 Developing the Neurovascular Surgical Specialists of the Future28 Developing the Endovascular and Neurovascular Specialists of the Future