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Rates of aneurysm occlusion with the pipeline embolization device (PED) has varied widely in the literature from 55.7% to 93.3% at 6months, which may reflect a difference in technique including sizing and number of devices used. 140 cases at our institution were retrospectively reviewed, and aneurysms treated with a single PED vs. multiple were compared. Complete aneurysm occlusion was achieved in 86.9% at 6months, 91.8% at 1year, and 97.6% at longest follow-up. Retreatment with an additional device was required in 7 (5.1%). Major and