Late-stage microsurgical intrasaccular thrombectomy for visual decline after flow diversion of a large ophthalmic internal carotid artery aneurysm: a hybrid management strategy. Illustrative case.

Key Points

• To explore the effectiveness of late-stage microsurgical thrombectomy for visual decline after flow diversion of a large ophthalmic internal carotid artery aneurysm.
• Utilized a hybrid approach involving flow diversion for aneurysm occlusion.
• Followed up with targeted surgical decompression.
• Assessed visual outcomes post-intervention.
• Near-total visual recovery observed in the case.
• Implementation of a hybrid strategy was successful in alleviating symptoms.
• The strategy is suitable for select cases with persistent mass effects.