The recently introduced Pipeline Vantage Embolization Device with Shield Technology is the fourth generation of Pipeline flow diverter devices. Due to the relatively high rate of intraprocedural technical complications, modifications were subsequently made to the device after alimited release of the device in 2020. This study aimed to evaluate the safety and efficacy of the modified version of this device. This was amulticentre retrospective series. The primary efficacy endpoint was aneurysm occlusion in the absence of retreatment. The primary safety endpoint was any neurological morbidity or death. Ruptured and unruptured aneurysms were included in the study. A total of 52procedures were performed for 60target aneurysms. Treatment was performed on 5patients with ruptured aneurysms. The technical success rate was 98%. The mean clinical follow-up time was 5.5months. In patients presenting with unruptured aneurysms there were no deaths, 3 (6.4%) major complications and 7 (13%) minor complications. In the five patients presenting with subarachnoid haemorrhage there were 2 (40%) major complications with 1 (20%) of these resulting in death, and 1 (20%) minor complication. Of the patients 29(56%) had undergone 6‑monthly postprocedural angiographic imaging with amean time of 6.6months demonstrating that 83% of patients had achieved adequate occlusion (RROC1/2) of the aneurysm. In this non-industry-sponsored study, the occlusion rates and safety outcomes were similar to those seen in previously published studies with flow diverter devices and earlier generation Pipeline devices. Modifications to the device appear to have improved ease of deployment.