Evidence map›Paper›PMID 26738659›Full record

ArticleJACC. Cardiovascular interventions2015

Percutaneous Left Atrial Appendage Closure With the Watchman Device: Long-Term Results Up to 5 Years.

Jens Wiebe, Jennifer Franke, Katharina Lehn, Ilona Hofmann, Laura Vaskelyte, Stefan Bertog, Horst Sievert

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Article in JACC. Cardiovascular interventions, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  12. The "absent" left atrial appendage….HeartRhythm case reports · 2017
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Jens WiebeCardioVascular Center Frankfurt, Frankfurt, Germany.
Jennifer FrankeCardioVascular Center Frankfurt, Frankfurt, Germany.
Katharina LehnCardioVascular Center Frankfurt, Frankfurt, Germany.
Ilona HofmannCardioVascular Center Frankfurt, Frankfurt, Germany.
Laura VaskelyteCardioVascular Center Frankfurt, Frankfurt, Germany.
Stefan BertogCardioVascular Center Frankfurt, Frankfurt, Germany.
Horst SievertCardioVascular Center Frankfurt, Frankfurt, Germany. Electronic address: info@cvcfrankfurt.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study was to evaluate long-term outcomes in patients with atrial fibrillation undergoing percutaneous left atrial appendage (LAA) closure with the Watchman device.

backgroundAtrial fibrillation is one of the most common arrhythmias and is associated with a high risk for cardioembolic ischemic events, most notably stroke. Percutaneous LAA closure is an alternative to oral anticoagulation, because most thrombi originate from the LAA.

methodsAll consecutive patients with minimum CHADS2 or CHA2DS2-VASc scores of 1 who underwent LAA closure with the Watchman device between June 2006 and August 2010 were eligible. Follow-up examinations were performed after 45 days to 3 months, 6 months, and 1 year and thereafter annually. Afterward, alternating office visits and telephone follow-up were performed every 6 months.

resultsA total of 102 patients were included. The mean age was 71.6 ± 8.8 years, and 37.3% were women. The mean CHADS2 and CHA2DS2-VASc scores were 2.7 ± 1.3 and 4.3 ± 1.7, respectively. Procedural success was achieved in 96.1% of patients. During a mean follow-up period of 3.0 ± 1.6 years, the annual rates of transient ischemic attack, stroke, intracranial hemorrhage, and death were 0.7%, 0.7%, 1.1%, and 3.5%, respectively.

conclusionsLAA closure with the Watchman device is safe and feasible for stroke protection in patients with atrial fibrillation. Low ischemic events rates demonstrate its effectiveness during long-term follow-up.

Indexed as

Atrial AppendageEmbolic Protection DevicesAgedAged, 80 and overAtrial FibrillationCardiac CatheterizationFeasibility StudiesFemaleGermanyHumansIntracranial HemorrhagesIschemic Attack, TransientKaplan-Meier EstimateMaleProspective StudiesProsthesis Designatrial fibrillationleft atrial appendage closurestroke prevention

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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.