Intraoperative Transit Time Flowmetry for Unruptured Middle Cerebral Artery Aneurysms

Despite the lack of statistical significance, ITTF monitoring may still play a valuable role in enhancing surgical safety, as it enabled clip repositioning in two cases where standard modalities (ICG and MEPs) showed no abnormalities. Further research is needed to confirm its clinical benefit and define its role in intraoperative decision-making.