What the design is, in one paragraph
Pick markets that behaved alike before the campaign. Buy media in some of them and deliberately buy none in the others. After the flight, scale the control markets by the ratio the two groups sat at before the media started, and treat that scaled series as the counterfactual: what the exposed markets would have done anyway. The gap between what they actually did and that counterfactual is the estimate, and it is a genuine causal estimate because the holdout was chosen by you rather than selected by exposure.
That last clause is the whole reason this design is worth the trouble. Almost every other measurement in media compares people who saw the ad with people who did not, and the two groups differ in the one way that matters: one of them was targeted. A geo holdout is decided before delivery, by the buyer, on a geography rather than on a person, which is why it survives the collapse of identity-based measurement and why it works on channels with no user-level data at all.