Evidence map›Paper›PMID 28795688›Full record

ReviewNature reviews. Cardiology2017

Interventional and surgical occlusion of the left atrial appendage.

Etem Caliskan, James L Cox, David R Holmes, Bernhard Meier, Dhanunjaya R Lakkireddy, Volkmar Falk, Sacha P Salzberg, Maximilian Y Emmert

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Cardiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 5% of its field
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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Novel technique of left atrial appendage occlusion-a pilot study.Indian journal of thoracic and cardiovascular surgery · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. [Surgical closure of the left atrial appendage in cardiac surgery: a review article].Archivos peruanos de cardiologia y cirugia cardiovascular
    Review
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 3 countries.

Etem CaliskanDepartment of Cardiovascular Surgery, Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany.
James L CoxFeinberg School of Medicine, Northwestern University, Arthur J. Rubloff Building, 420 East Superior Street, Chicago, Illinois 60611, USA.
David R HolmesDepartment of Cardiology, Mayo Clinic, 200 First Street SW, Rochester, Minnesota 55905, USA.
Bernhard MeierDepartment of Cardiology, University Hospital of Bern, Freiburgstrasse 8, 3010 Bern, Switzerland.
Dhanunjaya R LakkireddySection of Electrophysiology, University of Kansas Hospital, 3901 Rainbow Boulevard, Kansas City, Kansas 66160, USA.
Volkmar FalkDepartment of Cardiovascular Surgery, Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany.
Sacha P SalzbergHeartClinic, Hirslanden Hospital, Witellikerstrasse 40, 8032 Zurich, Switzerland.
Maximilian Y EmmertUniversity Heart Center, Clinic for Cardiovascular Surgery, University Hospital Zurich, University of Zurich, Raemistrasse 100, 8091 Zurich, Switzerland.
Berlin Heart (Germany) · DEKlinik Hirslanden · CHMayo Clinic · USNorthwestern University · USThe University of Kansas Health System · USUniversity Hospital of Bern · CHUniversity Hospital of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With a steadily increasing prevalence, atrial fibrillation (AF) is the most common sustained cardiac arrhythmia worldwide and an independent risk factor for stroke caused by thromboembolic events. The left atrial appendage (LAA) is the primary source of thromboemboli in patients with nonvalvular AF who have a stroke. Novel strategies (such as mechanical and nonpharmacological intervention) targeting the LAA in patients with AF for stroke prevention have become a major focus during the past decade. Some devices for percutaneous LAA occlusion are supported by robust clinical data obtained from randomized trials or large registries, and are a valid alternative to pharmacological stroke prevention. However, the incidence of periprocedural complications and the presence of device-related thrombi or residual LAA leaks, whose long-term clinical implications are still unknown, are limiting factors in wider acceptability of these techniques. In this Review, we discuss the available techniques for LAA occlusion in patients with nonvalvular AF at high risk of stroke. We describe the pharmacological and mechanical approaches to LAA occlusion, and provide the current clinical evidence for various strategies. We particularly focus on the current management of the LAA, and discuss the challenges and future implications of the available approaches to LAA occlusion.

Indexed as

RegistriesAtrial AppendageAtrial FibrillationCardiac Surgical ProceduresHumansRisk FactorsThromboembolism

Identifiers

PMID28795688
OpenAlexW2744216806

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.