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The Fifth Joint TaskForce of the European Society of Cardiology and OtherSocieties on Cardiovascular Disease Prevention inClinical Practice (constituted by representatives of ninesocieties and by invited experts).

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If a nonaneurysm expert feels coiling is generally safer than open microsur-gery for an anterior communicating aneurysm, or a non-skull base surgeon feels thatradiosurgery is safer than microsurgery for a 1.3 cm vestibular schwannoma, he/shemay refer these patients for coiling or radiosurgery, respectively, by enumeratingthe high risks of surgery to the patients and extolling the advantages of the recom-mended approach.

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