Check out new publication. Just Published in @TheJNS Therapeutic management of Intracranial ICA Blowout Syndrome (ICABS) — an institutional case series + individual participant data meta-analysis. 80 patients analyzed. thejns.org/view/journals/j-n… ICABS is an extremely rare but catastrophic entity. Common causes: • Head & neck cancer invasion • Radiation injury • Iatrogenic injury during transsphenoidal surgery Most frequent location: Petrous ICA (43.8%) Key results: • Bleeding control achieved in 81.2% • Parent vessel sacrifice most common intervention (41%) • Overall complication rate: 35% • Mortality: 27.5% Conservative management had the highest mortality (60%). 📌 Takeaway When acute ICABS occurs → Endovascular therapy could be first-line. Rapid hemorrhage control saves lives. Grateful for learning from mentors @evanluthermd @Starkeneurosurg and collaboration with colleagues @MokshalPorwal @AaronCalienes @matetinihas @joelsequeiros #neuroendovascular #Neurosurgery