Evidence map›Paper›PMID 29954658›Full record

ReviewJournal of the American College of Cardiology2018

Cardiovascular Therapies Targeting Left Atrial Appendage.

Mohit K Turagam, Poonam Velagapudi, Saibal Kar, David Holmes, Vivek Y Reddy, Marwan M Refaat, Luigi Di Biase, Amin Al-Ahmed, Mina K Chung, Thorsten Lewalter and 5 more

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Journal of the American College of Cardiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05131308 (Comparison of the Efficacy of Successful Leak Closure Between Available Leak Closure Methods for Clinically Relevant and Persisting Leaks Arising After Incomplete LAAC), which is not on this map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
5.1field-weighted citation impact, top 4% 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.

NCT05131308 completednot on this map

Comparison of the Efficacy of Successful Leak Closure Between Available Leak Closure Methods for Clinically Relevant and Persisting Leaks Arising After Incomplete LAAC: Insights From the LAA-Leak Registry

TypeobservationalSponsorKansas City Heart Rhythm Research FoundationRan2015 to 2021Enrolled160ConditionsLeft Atrail Appendage Closure: Peri-device LeaksArmsleak closure with either detachable embolization coils, vascular plugs/CSO, or RFA
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

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  20. Novel Embolic Protection Device: a Feasibility Study.Journal of cardiovascular translational research · 2020
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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

15 authors at 11 institutions in 2 countries.

Mohit K TuragamHelmsley Electrophysiology Center in the Department of Cardiology, Icahn School of Medicine at Mount Sinai, New York, New York.
Poonam VelagapudiStructural Heart and Valve Center, Center for Interventional Vascular Therapy, Division of Cardiology, Columbia University Medical Center, New York, New York.
Saibal KarDivision of Cardiology, Cedars Sinai Medical Center, Los Angeles, California.
David HolmesCardiovascular Medicine Department, Mayo Clinic, Rochester, Minnesota.
Vivek Y ReddyHelmsley Electrophysiology Center in the Department of Cardiology, Icahn School of Medicine at Mount Sinai, New York, New York.
Marwan M RefaatDepartment of Internal Medicine, Cardiology/Cardiac Electrophysiology and Department of Biochemistry and Molecular Genetics, American University of Beirut Faculty of Medicine and Medical Center, Beirut, Lebanon.
Luigi Di BiaseElectrophysiology Section, Albert Einstein College of Medicine at Montefiore Medical Center, Bronx, New York.
Amin Al-AhmedTexas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas.
Mina K ChungDepartment of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.
Thorsten LewalterIsar Heart Center Munich, Munich, Germany.
James EdgertonDepartment of Cardiac Surgery, The Heart Hospital Baylor Plano, Plano, Texas.
James CoxFeinberg School of Medicine, Northwestern University, Chicago, Illinois.
John FisherElectrophysiology Section, Albert Einstein College of Medicine at Montefiore Medical Center, Bronx, New York.
Andrea NataleTexas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, Texas.
Dhanunjaya R LakkireddyKansas City Heart Rhythm Institute & Research Foundation, Overland Park Regional Medical Center, Kansas City, Kansas. Electronic address: dlakkireddy@kchrf.com.
Albert Einstein College of Medicine · USIcahn School of Medicine at Mount Sinai · USSt David's Medical Center · USAmerican University of Beirut · LBCedars-Sinai Medical Center · USCleveland Clinic · USColumbia University Irving Medical Center · USHeart Hospital Baylor Plano · USHeart Rhythm Society · USMayo Clinic · USNorthwestern University · US

Funding

Functional Genomics of Atrial Fibrillation in Human AtriaR01HL111314 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI BARNARD, JOHN, CHUNG, MINA KAY · 2012 to 2019
$6.1M
NHLBI NIH HHS R01 HL111314
6 · The paper itself

Abstract

Left atrial appendage (LAA) closure has evolved as an effective strategy for stroke prevention in patients with atrial fibrillation who are considered suitable for oral anticoagulation. There is strong evidence based on randomized clinical trials with 1 percutaneous device, as well as a large registry experience with several devices, regarding the safety and efficacy of this strategy. In addition, there is encouraging data regarding the effect of epicardial LAA closure on decreasing arrhythmia burden and improvements in systemic homeostasis by neurohormonal modulation. However, there are several unresolved issues regarding optimal patient selection, device selection, management of periprocedural complications including device-related thrombus, residual leaks, and pericarditis. In this review, we summarize the rationale, evidence, optimal patient selection, and common challenges encountered with mechanical LAA exclusion.

Indexed as

Atrial FibrillationCardiac Surgical ProceduresStrokeAtrial AppendageHeart AtriaHumansRisk Adjustmentanticoagulantsatrial fibrillationcardiac surgical proceduresstrokethromboembolism

Identifiers

PMID29954658
PMCPMC8420938
OpenAlexW2810867585

What OpenQuestion holds

Textmetadata
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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.