Evidence map›Paper›PMID 41718806›Full record

ArticleClinical neuroradiology2026

Enhanced Complete Clot Ingestion with the ALGO Smart Pump: Preclinical Evidence Supporting Aspiration Efficiency in Mechanical Thrombectomy.

Amer Mitchelle, Pervinder Bhogal, Ravi Gandhi, Robert Slazas, Manning Hanser, Nathan Manning

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Clinical neuroradiology, 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
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.

  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

6 authors.

Amer MitchelleThe MIRI Centre, Ingham Institute for Applied Medical Research, Liverpool, Australia. amer@nhs.net.au.
Pervinder BhogalRoyal London Hospital, London, United Kingdom.
Ravi GandhiNeurosurgery, AdventHealth Orlando, Orlando, United States.
Robert SlazasVon Vascular Inc, Sunrise, Florida, United States.
Manning HanserVon Vascular Inc, Sunrise, Florida, United States.
Nathan ManningThe MIRI Centre, Ingham Institute for Applied Medical Research, Liverpool, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the ALGO Smart Pump (ALGO), operating in Adaptive Pulsatile Aspiration (APA™) and Static modes, with the Penumbra ENGINE during in-vitro mechanical thrombectomy, and to determine whether adaptive pulsatile aspiration improves complete clot ingestion (CCI) and reduces aspiration time across catheters sizes and catheter-to-artery (C/A) ratios.

methodsA pre-specified integrative analysis of two previously completed in-vitro thrombectomy studies was conducted using a standardized middle cerebral artery occlusion model. A total of 720 thrombectomy procedures were performed by two experienced operators using twelve commercial catheters (six small-bore, six large-bore). Three aspiration modalities were tested: ALGO APA™, ALGO Static, and Penumbra ENGINE continuous aspiration (n = 30 per catheter-pump pairing). The primary endpoint was CCI; secondary endpoint was aspiration time. Outcome analysis included two-way ANOVA and Chi-squared tests, with catheter, operator, and C/A ratio terms.

resultsThe ALGO demonstrated a higher median CCI rate than Penumbra (81.4% vs. 56.1%, χ

conclusionAdaptive pulsatile aspiration enhances clot ingestion efficiency and reduces aspiration time in an in-vitro thrombectomy model, particularly for smaller catheters. These findings support further translational studies on optimizing aspiration dynamics to enhance first-pass success in endovascular stroke therapy.

Indexed as

Infarction, Middle Cerebral ArteryMechanical ThrombolysisThrombectomyAnimalsEquipment DesignHumansSuctionAdaptive Pulsatile AspirationALGOALGO Smart PumpAspiration thrombectomyCatheter-to-artery ratioComplete clot ingestionENGINEIschemic strokeMechanical thrombectomyMicro-emboliMicrovascular occlusionsPumpStatic modeStroke

Identifiers

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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.