{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T16:54:37Z","timestamp":1791392077595,"version":"4.3.3"},"reference-count":13,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,2,7]],"date-time":"2023-02-07T00:00:00Z","timestamp":1675728000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Interv Neuroradiol"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>There 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the safety and feasibility of the Q\u2019Apel Medical Wahoo Hybrid Access System, a dual-mode 0.072\u2033 internal diameter guide catheter, in a range of neuroendovascular procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The 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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15910199231155033","type":"journal-article","created":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T00:25:20Z","timestamp":1675815920000},"page":"971-976","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Safety and feasibility of the Wahoo Hybrid Access System, a dual-mode guide catheter, in a range of neuroendovascular procedures"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3215-1757","authenticated-orcid":false,"given":"Michael J","family":"Waters","sequence":"first","affiliation":[{"name":"Prisma Health Upstate"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Vargas","sequence":"additional","affiliation":[{"name":"Prisma Health Upstate"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aquilla","family":"Turk","sequence":"additional","affiliation":[{"name":"Prisma Health Upstate"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Imran","family":"Chaudry","sequence":"additional","affiliation":[{"name":"Prisma Health Upstate"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raymond D","family":"Turner","sequence":"additional","affiliation":[{"name":"Prisma Health Upstate"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,2,7]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2019-015610"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000259824.10732.bb"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2011-010256"},{"key":"e_1_3_2_5_2","first-page":"1375","article-title":"Techniques for intracranial stent navigation in patients with tortuous vessels","volume":"26","author":"Lee TH","year":"2005","unstructured":"Lee TH, Choi CH, Park KP, et al. Techniques for intracranial stent navigation in patients with tortuous vessels. AJNR Am J Neuroradiol 2005; 26: 1375\u20131380.","journal-title":"AJNR Am J Neuroradiol"},{"key":"e_1_3_2_6_2","article-title":"Utilization of the Navien distal intracranial catheter in 78 cases of anterior circulation aneurysm treatment with the Pipeline embolization device","volume":"5","author":"Colby GP","year":"2013","unstructured":"Colby GP, Lin LM, Huang J, et al. Utilization of the Navien distal intracranial catheter in 78 cases of anterior circulation aneurysm treatment with the Pipeline embolization device. J Neurointerv Surg 2013; 5: iii16\u2013iii21.","journal-title":"J Neurointerv Surg"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.7461\/jcen.2019.21.1.5"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2015-011788"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/1591019918815294"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1159\/000456086"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A4365"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A1290"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2019-015127"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2018-014620"}],"container-title":["Interventional Neuroradiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15910199231155033","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15910199231155033","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15910199231155033","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T16:16:30Z","timestamp":1791389790000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15910199231155033"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,7]]},"references-count":13,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1177\/15910199231155033"],"URL":"https:\/\/doi.org\/10.1177\/15910199231155033","relation":{},"ISSN":["1591-0199","2385-2011"],"issn-type":[{"value":"1591-0199","type":"print"},{"value":"2385-2011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,7]]}}}