ArticleCureus2025
Temporary Carotid Occlusion Using a Hybrid Microsurgical-Endovascular Approach for Repair of Ophthalmic Artery Aneurysm.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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8 authors.
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Abstract
A patient in their 50s with a history of anxiety, depression, bipolar disorder, and insomnia presented with two to three weeks of progressive altered mental status, including delusions and hallucinations. Emergency Department workup included non-contrast CT, which disclosed a mass along the anterior midline of the sella. Contrast MRI and computed tomography angiography (CTA) demonstrated a large (17 mm) saccular aneurysm at the para‑ophthalmic segment of the right internal carotid artery, adjacent to the ophthalmic artery origin. In a single hybrid session, the team first performed endovascular balloon‑assisted proximal carotid occlusion, then converted to an external approach via a right frontotemporal craniotomy to clip the aneurysm neck under direct visualization. The patient tolerated the combined endovascular‑microsurgical procedure without intraoperative complications. Postoperatively, they experienced a single seizure on night one but recovered fully after antiepileptic adjustment. Visual acuity improved from 2/200 to 20/100, and the patient was discharged home in stable condition.
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