{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:57:22Z","timestamp":1777730242082,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"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"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Transradial mechanical thrombectomy offers reduced complications compared to transfemoral approach but has been limited by the inability to safely deliver large-bore aspiration catheters through a radial sheath. The Food and Drug Administration (FDA)-cleared Zebra laser-cut catheter with 7F (0.087\u2033 inner diameter; 0.096\u2033 outer diameter) and 6F versions (0.074\u2033 inner diameter; 0.083\u2033 outer diameter) addresses this limitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective review of 26 patients undergoing transradial mechanical thrombectomy for acute ischemic stroke using the Zebra catheter through radial sheaths at two centers (January\u2013August 2025). Primary outcomes included radial access success, recanalization (Thrombolysis in Cerebral Infarction [TICI] 2b-3), and access-site complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mean age was 65.04\u2009\u00b1\u200912.82, mean National Institutes of Health Stroke Scale (NIHSS) was 20.88\u2009\u00b1\u20097.87. Radial access success rate was 96.2% (25\/26). One conversion to femoral occurred due to catheter herniation at acute innominate-left common carotid angulation with aberrant right subclavian anatomy; the procedure was completed successfully via femoral route using the same system. Successful recanalization (TICI 2b-3) occurred in 88.5% (23\/26) of patients. Zebra accommodated aspiration catheters ranging 0.055\u20130.071\u2033 inner diameter and navigated complex anatomy including tortuous carotid origins with subclavian elevation up to 15\u2005mm. No access-site complications occurred. Mean fluoroscopy time was 23.07\u2009\u00b1\u200918.24\u2005min with 88.5% of procedures rated \u201ceasy\u201d by the operator. Acute aortic branch angles represented the primary anatomical limitation, while distal tortuosity and moderate subclavian elevation were manageable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Zebra enabled transradial mechanical thrombectomy with high recanalization rates without access-site complications. Zebra succeeded across complex anatomy and demonstrated compatibility with various large bore suction catheters, allowing uniform utilization for thrombectomy in radial versus femoral access.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15910199261416265","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T18:27:57Z","timestamp":1769106477000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Radial-sheath approach for large-bore mechanical thrombectomy using the Zebra laser-cut guide catheter: Initial clinical experience"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4152-9113","authenticated-orcid":false,"given":"Sami","family":"Almasri","sequence":"first","affiliation":[{"name":"Perelman School of Medicine, University of Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Om H.","family":"Gandhi","sequence":"additional","affiliation":[{"name":"Perelman School of Medicine, University of Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suraj R.","family":"Dumasia","sequence":"additional","affiliation":[{"name":"Perelman School of Medicine, University of Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shirley","family":"Yuan","sequence":"additional","affiliation":[{"name":"Perelman School of Medicine, University of Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"Bagley","sequence":"additional","affiliation":[{"name":"Perelman School of Medicine, University of Pennsylvania"},{"name":"Perelman School of Medicine, University of Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omar","family":"Choudhri","sequence":"additional","affiliation":[{"name":"Perelman School of Medicine, University of Pennsylvania"},{"name":"Perelman School of Medicine, University of Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,1,22]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0040-1709153"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/15910199251345031"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A6423"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.118.021640"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.2176\/jns-nmc.2023-0039"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2003.07.038"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2014.11.017"},{"key":"e_1_3_2_9_2","first-page":"205","article-title":"Effectiveness and safety of transradial artery access for cardiac catheterization","volume":"24","author":"Schussler JM","year":"2011","unstructured":"Schussler JM. Effectiveness and safety of transradial artery access for cardiac catheterization. Proc (Bayl Univ Med Cent) 2011; 24: 205\u2013209.","journal-title":"Proc (Bayl Univ Med Cent)"},{"key":"e_1_3_2_10_2","first-page":"107","article-title":"The value of transradial: impact on patient satisfaction and health care economics","volume":"9","author":"Lindner SM","year":"2020","unstructured":"Lindner SM, McNeely CA, Amin AP. The value of transradial: impact on patient satisfaction and health care economics. Interv Cardiol Clin 2020; 9: 107\u2013115.","journal-title":"Interv Cardiol Clin"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(98)00288-5"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.112.965269"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.124.014186"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnis-2023-021358"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/svn-2020-000624"},{"key":"e_1_3_2_16_2","article-title":"Transradial versus transfemoral access for mechanical thrombectomy: a systematic review and meta-analysis","volume":"3","author":"Elfil M","year":"2023","unstructured":"Elfil M, Ghaith HS, Doheim MF, et al. Transradial versus transfemoral access for mechanical thrombectomy: a systematic review and meta-analysis. Stroke: Vasc Interven Neurol 2023; 3: e000758.","journal-title":"Stroke: Vasc Interven Neurol"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2024.108471"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A5401"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/15910199251345637"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1227\/ons.0000000000000295"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2021.106510"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/15910199221127074"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnis-2022-019004"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/1591019920950889"},{"key":"e_1_3_2_25_2","unstructured":"Zebra: Q'Apel Medical Inc. 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