Evidence map›Paper›PMID 26855643›Full record

ArticleKardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery2015

Stand-alone totally thoracoscopic left atrial appendage exclusion using a novel clipping system in patients with high risk of stroke - initial experience and literature review.

Piotr Suwalski, Anna Witkowska, Dominik Drobiński, Joanna Rozbicka, Sławomir Sypuła, Irena Liszka, Radosław Smoczyński, Jakub Staromłyński, Irena Walecka, Dariusz Kosior

Abstract read
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Article in Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 2024 European Heart Rhythm Association/Heart Rhythm Society/Asia Pacific Heart Rhythm Society/Latin American Heart Rhythm Society expert consensus statement on catheter and surgical ablation of atrial fibrillation.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Pilot study of totally thoracoscopic periareolar approach for minimally invasive mitral valve surgery. Towards even less invasive?Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2019
    Article
  10. Applications of low-cost 3D printing in left atrial appendage closure using epicardial approaches - initial clinical experience.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2018
    Article
  11. Is there an alternative treatment for patients intolerant to antiplatelet therapy if percutaneous left atrial appendage closure is considered?Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2017
    Article
  12. Percutaneous left atrial appendage occlusion - treatment outcomes and 6 months of follow-up - a single-center experience.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2016
    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

10 authors.

Piotr SuwalskiDepartment of Cardiac Surgery, Central Clinical Hospital of the Ministry of Interior, Warsaw, Poland; Pulaski University of Technology and Humanities, Radom, Poland; Mossakowski Medical Research Centre, Polish Academy of Sciences, Warsaw, Poland.
Anna WitkowskaDepartment of Cardiac Surgery, Central Clinical Hospital of the Ministry of Interior, Warsaw, Poland.
Dominik DrobińskiDepartment of Cardiac Surgery, Central Clinical Hospital of the Ministry of Interior, Warsaw, Poland.
Joanna RozbickaDepartment of Noninvasive Cardiology and Arterial Hypertension, Central Clinical Hospital of the Ministry of Interior, Warsaw, Poland.
Sławomir SypułaDepartment of Noninvasive Cardiology and Arterial Hypertension, Central Clinical Hospital of the Ministry of Interior, Warsaw, Poland.
Irena LiszkaDepartment of Cardiac Surgery, Central Clinical Hospital of the Ministry of Interior, Warsaw, Poland.
Radosław SmoczyńskiDepartment of Cardiac Surgery, Central Clinical Hospital of the Ministry of Interior, Warsaw, Poland.
Jakub StaromłyńskiDepartment of Cardiac Surgery, Central Clinical Hospital of the Ministry of Interior, Warsaw, Poland.
Irena WaleckaCentral Clinical Hospital of the Ministry of Interior, Warsaw, Poland.
Dariusz KosiorDepartment of Noninvasive Cardiology and Arterial Hypertension, Central Clinical Hospital of the Ministry of Interior, Warsaw, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAtrial fibrillation (AF) is the most common clinically relevant arrhythmia and it is strongly associated with stroke. Left atrial appendage (LAA) is considered to be the most often source of thrombotic material. In recent decades a number surgical, percutaneous and hybrid approaches for LAA occlusion have been described revealing very different level of success and showing a variety of challenges associated with this matter. We present the first Polish experience with the stand-alone totally thoracoscopic LAA exclusion using novel clipping system. MATERIAL AND

methodsFour patients (one male) in mean age of 74 (± 13) years with long-standing persistent and chronic AF were admitted for totally thoracoscopic LAA exclusion. All patients had significant comorbidities and the history of the oral anticoagulation intolerance or suboptimal/unstable level (CHA2DS2-VASC > 5, HAS_BLED > 3). Three procedures were performed through totally thoracoscopic access. In one patient due to massive adhesions in the left pleura we performed minithoracotomy in fourth left intercostal space. In two months follow-up we observed no mortality, no strokes and no bleedings.

resultsIn all patient total exclusion of LAA with no residual remnant was confirmed. The "skin-to-skin" procedural time took on average 40, minimum 20 minutes. Patients were extubated directly or within two hours after procedure. All patients were discharged early in a good condition.

conclusionsOur initial first experience with the novel totally thoracoscopic clipping system for stand-alone LAA exclusion is very promising showing very high efficacy and good safety profile.

Indexed as

atrial fibrillationLAA occlusiontotally thoracoscopic

Identifiers

PMID26855643
PMCPMC4735528

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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.