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• W4385398180 abstract "<h3>Background</h3> Giant internal carotid artery (ICA) aneurysms in the cavernous segment can cause mass effect and a variety of cranial nerves palsies. With the introduction of flow diverting stents, a new option was added to the treatment paradigm. <h3>Objective</h3> To assess efficacy, feasibility, and safety profile of flow diverters in treating giant ICA aneurysms. <h3>Methods</h3> This is a retrospective case-series of giant cavernous aneurysms treated with flow diversion between 2012 and 2022 at our institution. Giant aneurysms were defined as aneurysms with a maximal diameter of ≥24mm. <h3>Results</h3> Our case series comprised of 9 female patients with a mean age of 66.8 years ± 14.1. The mean aneurysm neck width was 7.1 mm ±1.5, mean maximal diameter was 25.1 mm ±4.9, and mean height was 18. 5 mm ± 7.2. Only 1 (11.1%) patient who presented with a ruptured aneurysms on admission, experienced a re-rupture during the post-operative duration and passed away. At final follow-up, 6 (85.7%) patients achieved complete aneurysm occlusion (RROC Grade I), 1 (14.3%) patient had a neck residue (RROC Grade II), recurrence rate was 0% and all patients had good functional outcome (mRS 0-2). The mean duration to final follow-up was 28.3 months ± 27.2. <h3>Conclusion</h3> Compared to other endovascular and surgical techniques, flow diversion for giant cavernous ICA aneurysms can be a safe and effective treatment option. Further larger studies should be conducted to validate and strengthen our results. <h3>Disclosures</h3> <b>K. El Naamani:</b> None. <b>S. Majmundar:</b> None. <b>R. Abbas:</b> None. <b>N. Herial:</b> None. <b>H. Zarzour:</b> None. <b>R. Schmidt:</b> None. <b>S. Tjoumakaris:</b> 2; C; Medtronic, Microvention. <b>R. Rosenwasser:</b> None. <b>P. Jabbour:</b> 2; C; Medtronic, Microvention, Balt, Cerus Endovascular. <b>M. Gooch:</b> None. <b>L. Mackenzie:</b> None. <b>O. Kozak:</b> None. <b>V. Schunemann:</b> None." @default.
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• W4385398180 date "2023-07-01" @default.
• W4385398180 modified "2023-09-26" @default.
• W4385398180 title "E-124 Flow diversion for giant cavernous internal carotid artery aneurysms: a case series of nine patients" @default.
• W4385398180 doi "https://doi.org/10.1136/jnis-2023-snis.224" @default.
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