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.

Delayed microsurgical thrombectomy can yield near-total visual recovery even after initial endovascular treatment. A hybrid approach combining flow diversion for aneurysm occlusion followed by targeted surgical decompression may be considered in select cases with persistent mass effect-related symptoms. https://thejns.org/doi/10.3171/CASE25847.