Evidence map›Paper›PMID 40398475›Full record

ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2025

The initial experience with the Walrus balloon guide catheter - Results from two high-volume thrombectomy centres.

Pervinder Bhogal, Permesh Singh Dhillon, Richard Flood, Martin Lewis, Anna Podlasek, Ken Wong, Joseph Lansley, Levansri Makalanda, David Minks, Oliver Spooner and 1 more

Abstract read
In one paragraph

Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Vascular geometry characterization for AI-based endovascular navigation.International journal of computer assisted radiology and surgery · 2026
    Article
  2. Article
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

11 authors.

Pervinder BhogalDepartment of Interventional Neuroradiology, The Royal London Hospital, Barts NHS Trust, London, UK.
Permesh Singh DhillonRadiological Sciences, Mental Health & Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK.ORCID 0000-0003-4353-4515
Richard FloodDepartment of Neuroradiology, North Bristol NHS Trust, Bristol, UK.
Martin LewisDepartment of Interventional Neuroradiology, The Royal London Hospital, Barts NHS Trust, London, UK.
Anna PodlasekRadiological Sciences, Mental Health & Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK.ORCID 0000-0001-7297-7169
Ken WongDepartment of Interventional Neuroradiology, The Royal London Hospital, Barts NHS Trust, London, UK.
Joseph LansleyDepartment of Interventional Neuroradiology, The Royal London Hospital, Barts NHS Trust, London, UK.
Levansri MakalandaDepartment of Interventional Neuroradiology, The Royal London Hospital, Barts NHS Trust, London, UK.ORCID 0000-0001-6637-9293
David MinksDepartment of Neuroradiology, North Bristol NHS Trust, Bristol, UK.
Oliver SpoonerDepartment of Stroke Medicine, Department of Interventional Neuroradiology, The Royal London Hospital, Barts NHS Trust, London, UK.
Alex MortimerDepartment of Neuroradiology, North Bristol NHS Trust, Bristol, UK.ORCID 0000-0001-7744-2833

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundWe report our initial experience on the use of the Walrus, a new generation balloon guide catheter (BGC) capable of accommodating large bore aspiration catheters for patients undergoing endovascular stroke thrombectomy for large vessel occlusion with a particular focus on procedural aspects related to the vascular anatomy, recanalisation efficacy and complications.MethodsThis is a retrospective, site-adjudicated, two-centre study on consecutive patients with anterior circulation large vessel occlusion treated with the Walrus BGC. Baseline characteristics and procedural and clinical outcomes were analysed.ResultsBetween July 2023 and January 2024, we recruited 300 participants (mean age 69.5 ± 15 years; 132 (44%) females). The mean admission NIHSS was 15.8 ± 6.5, and the mean ASPECTS was 7.6 ± 1.9. Combined stent-retriever and aspiration first-line thrombectomy technique was performed in 235 patients (79%). The Walrus BGC was successfully navigated to the ICA in 99.7% of patients. Near complete-complete recanalisation (eTICI2c-3) was achieved in 75.4% of patients, and the eTICI2b-3 rate was 92.2%. First-pass effect (eTICI2c-3) was achieved in 49% of patients, and the modified first-pass effect (eTICI2b-3) was 65.9%. No significant difference in the arterial puncture-to-guide catheter placement time across the three different arch types (

Indexed as

balloon guide catheterendovascularStrokethrombectomy

Identifiers

PMID40398475
PMCPMC12095199

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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.