Evidence map›Paper›PMID 27540038›Full record

GuidelineEuropace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology2017

Percutaneous left atrial appendage occlusion: the Munich consensus document on definitions, endpoints, and data collection requirements for clinical studies.

Apostolos Tzikas, David R Holmes, Sameer Gafoor, Carlos E Ruiz, Carina Blomström-Lundqvist, Hans-Christoph Diener, Riccardo Cappato, Saibal Kar, Randal J Lee, Robert A Byrne and 11 more

6 registry-linked trialsAbstract readConsensus StatementPractice Guideline
In one paragraph

Guideline in 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, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 6 registered trials, which are not on this map. Cited by 104 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed, 3 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.

NCT04628078 recruitingnot on this map

LAAC-registry: Clinical Outcome After Echocardiography-guided LAA-closure

Typeobservational_patient_registrySponsorInsel Gruppe AG, University Hospital BernRan2015 to 2027Enrolled1,000ConditionsAtrial Fibrillation, Cardiovascular Diseases, ThromboembolismArmsUse of echocardiography guidance for LAAC
NCT05560204 naenrolling by invitationnot on this mapstarted 2023, after this paper: background citation

Combined Pulsed-field Ablation (PFA) and Left Atrial Appendage Occlusion Using Watchman Flx or Amulet: A Randomized Controlled Study

TypeinterventionalSponsorPrince of Wales Hospital, Shatin, Hong KongRan2023 to 2027Enrolled200ConditionsCombined Pulsed-field Ablation (PFA)ArmsCombined Pulsed-field Ablation (PFA) + Left Atrial Appendage Occlusion (LAAO)
NCT06060912 narecruitingnot on this mapstarted 2023, after this paper: background citation

LAmbre Versus AMPLATZER Amulet Left AtrIal Appendage Occluder for StRoke ProphylaxIs: The Randomized AMPIRI Trial

TypeinterventionalSponsorDeutsches Herzzentrum MuenchenRan2023 to 2027Enrolled226ConditionsLeft Atrial Appendage OcclusionArmsLeft Atrial Appendage Occlusion
NCT06177704 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Recurrent or Persistent Device Related Thrombus After Left Atrial Appendage Occlusion: The RE-DRT Study

TypeobservationalSponsorInstitut universitaire de cardiologie et de pneumologie de Québec, University LavalRan2026 to 2028Enrolled100ConditionsPercutaneous Left Atrial Appendage Occlusion (LAAO), Device-related Thrombus (DRT), Thromboembolic Event, Major Cardioembolic Events
NCT06348394 narecruitingnot on this mapstarted 2025, after this paper: background citation

Intracardiac Versus Transesophageal Echocardiographic Guidance for Left Atrial Appendage Occlusion

TypeinterventionalSponsorBaylor Research InstituteRan2025 to 2026Enrolled444ConditionsLeft Atrial Appendage ClosureArmsIntracardiac Echocardiography
NCT07360899 narecruitingnot on this mapstarted 2025, after this paper: background citation

Left Atrial Appendage Closure During Cardiac Surgery in Atrial Fibrillation Patients With Seralene

TypeinterventionalSponsorInstitute of Cardiovascular Diseases, VojvodinaRan2025 to 2026Enrolled200ConditionsATRIAL APPENDAGE CLOSURE for ATRIAL FIBRILLATION, Atrial Fibrillation (AF), Mitral Valve Surgery, Stroke (in Patients With Atrial Fibrillation)ArmsLAA closure using the AtriLASH
3 · Its place in the literature

Who cites it

104 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Left atrial appendage occlusion in patients with end-stage renal disease: an individual patient-level meta-analysis.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 · 2025
    Pooled it
  3. Pooled it
  4. Trial
  5. Outcomes of Different Device Sizing Strategies Using the Newer-Generation WATCHMAN Devices for Closure of Borderline-Sized Left Atrial Appendage.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
    Article
  6. Outcomes of left atrial appendage closure in patients with prior mitral valve interventions.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Article
  7. Article
  8. Percutaneous left atrial appendage closure for stroke prevention: current challenges and future perspectives.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Review
  9. The ABC of sealing following left atrial appendage closure.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Observational
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Three-year clinical outcomes of left atrial appendage occlusion with or without ablation: insight from the RECORD study.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 · 2026
    Observational
  17. Article
  18. Article
  19. Article
  20. Review

44 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors.

Apostolos TzikasDepartment of Cardiology, AHEPA University Hospital, Asklipiou 10, 57001 Thessaloniki, Greece th.lewalter@uni-bonn.de aptzikas@yahoo.com.
David R HolmesMayo Clinic, Rochester, MN, USA.
Sameer GafoorCardioVascular Center Frankfurt, Frankfurt, Germany.
Carlos E RuizHackensack UMC Heart and Vascular Hospital and The Joseph M. Sanzari Children's Hospital, Hackensack, NJ, USA.
Carina Blomström-LundqvistDepartment of Cardiology, Institution of Medical Science, Uppsala University, Uppsala, Sweden.
Hans-Christoph DienerDepartment of Neurology, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Riccardo CappatoArrhythmia and Electrophysiology Research Center, IRCCS Humanitas Research Hospital, Milan, Italy.
Saibal KarCedars-Sinai Medical Center, Los Angeles, CA, USA.
Randal J LeeCardiovascular Research Institute and Department of Medicine, University of California San Francisco, San Francisco, CA, USA.
Robert A ByrneDeutsches Herzzentrum München, Technische Universität München, Munich, Germany.
Reda IbrahimMontreal Heart Institute, Université de Montréal, Montreal, Quebec, Canada.
Dhanunjaya LakkireddyBloch Heart Rhythm Center @ University of Kansas Hospital, KU Cardiovascular Research Institute, Kansas City, KS, USA.
Osama I SolimanCardialysis and Department of Cardiology, Thoraxcenter, Erasmus MC, Rotterdam, The Netherlands.
Michael NabauerMedizinische Klinik und Poliklinik I, Ludwig-Maximilians-Universität, Munich, Germany.
Steffen SchneiderStiftung Institut für Herzinfarktforschung (Foundation IHF), Ludwigshafen, Germany.
Johannes BrachmannII. Med. Hospital Klinikum Coburg GmbH, Coburg, Germany.
Jeffrey L SaverComprehensive Stroke Center and Department of Neurology, David Geffen School of Medicine at the University of California, Los Angeles, CA, USA.
Klaus TiemannDepartment of Nuclear Medicine, Technical University of Munich,Munich, Germany.
Horst SievertCardioVascular Center Frankfurt, Frankfurt, Germany.
A John CammCardiovascular and Cell Sciences Research Institute, St. George's University of London, London, UK.
Thorsten LewalterDepartment of Medicine-Cardiology and Intensive Care, Peter Osypka Heart Center, Clinic Munich-Thalkirchen, Am Isarkanal 36, 81379 Munich, Germany th.lewalter@uni-bonn.de aptzikas@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The increasing interest in left atrial appendage occlusion (LAAO) for ischaemic stroke prevention in atrial fibrillation (AF) fuels the need for more clinical data on the safety and effectiveness of this therapy. Besides an assessment of the effectiveness of the therapy in specific patients groups, comparisons with pharmacological stroke prophylaxis, surgical approaches, and other device-based therapies are warranted. This paper documents the consensus reached among clinical experts in relevant disciplines from Europe and North America, European cardiology professional societies, and representatives from the medical device industry regarding definitions for parameters and endpoints to be assessed in clinical studies. Adherence to these definitions is proposed in order to achieve a consistent approach across clinical studies on LAAO among the involved stakeholders and various clinical disciplines and thereby facilitate continued evaluation of therapeutic strategies available.

Indexed as

Cardiac CatheterizationData CollectionEndpoint DeterminationResearch DesignAtrial AppendageAtrial FibrillationBrain IschemiaConsensusCooperative BehaviorHumansInterdisciplinary CommunicationInternational CooperationPatient SelectionRisk FactorsStrokeTreatment OutcomeAtrial FibrillationLAA closurePreventionStroke

Identifiers

PMID27540038
PMCPMC5841559

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.