Evidence map›Paper›PMID 36751023›Full record

ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2026

Safety and feasibility of the Wahoo Hybrid Access System, a dual-mode guide catheter, in a range of neuroendovascular procedures.

Michael J Waters, Jan Vargas, Aquilla Turk, Imran Chaudry, Raymond D Turner

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In one paragraph

Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 98% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Michael J WatersDepartment of Neurosurgery and Neuroendovascular Surgery, Prisma Health Upstate, Greenville, SC, USA.ORCID 0000-0002-3215-1757
Jan VargasDepartment of Neurosurgery and Neuroendovascular Surgery, Prisma Health Upstate, Greenville, SC, USA.
Aquilla TurkDepartment of Neurosurgery and Neuroendovascular Surgery, Prisma Health Upstate, Greenville, SC, USA.
Imran ChaudryDepartment of Neurosurgery and Neuroendovascular Surgery, Prisma Health Upstate, Greenville, SC, USA.
Raymond D TurnerDepartment of Neurosurgery and Neuroendovascular Surgery, Prisma Health Upstate, Greenville, SC, USA.
Prisma Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundThere is a clinical need for a guide catheter with combined stability and navigability, which can be used in a biaxial system for neuroendovascular procedures in place of triaxial systems.ObjectiveTo assess the safety and feasibility of the Q'Apel Medical Wahoo Hybrid Access System, a dual-mode 0.072″ internal diameter guide catheter, in a range of neuroendovascular procedures.MethodsWe performed a retrospective analysis of consecutive cases from a high-volume tertiary center in which the Wahoo Hybrid Access System was used as the guide catheter. Characteristics of the patients, vascular lesions, procedure, and procedural complications were assessed.ResultsA total of 102 patients were included for analysis. Vascular lesions were in the anterior circulation in 90 of 102 (88%), and posterior circulation in 12 of 102 (12%). Eighty-four cases were ruptured or unruptured aneurysm embolization procedures, the majority being balloon-assisted coiling (42%) and flow diversion (42%). All cases, including flow diversion, were performed as a biaxial system. There were no instances of prolapse of the catheter beyond the arterial segment in which it was initially placed. The procedure was able to be performed to completion in 101 of 102 (99%) cases. Thromboembolic complications occurred in 5 of 102 (5%); causality in two cases was unrelated to the guide catheter, and three were indeterminate.ConclusionsThe Wahoo guide catheter is safe and feasible when used in a variety of neuroendovascular procedures. It can accommodate a range of devices, can be safely navigated into distal vasculature, and provides support for a range of procedures, including those which traditionally require triaxial support.

Indexed as

CathetersEmbolization, TherapeuticEndovascular ProceduresIntracranial AneurysmAdultAgedAged, 80 and overCerebral AngiographyFeasibility StudiesFemaleHumansMaleMiddle AgedRetrospective Studiescathetercerebral aneurysminternal carotid arteryInterventional neuroradiology

Identifiers

PMID36751023
PMCPMC13305112
OpenAlexW4319460935

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.