Evidence map›Paper›PMID 30566961›Full record

Observational studyPloS one2018

Long term outcomes after left atrial appendage closure with the LARIAT device-Stroke risk reduction over five years follow-up.

Radoslaw Litwinowicz, Magdalena Bartus, Marian Burysz, Maciej Brzeziński, Piotr Suwalski, Boguslaw Kapelak, Venkat Vuddanda, Dhanunjaya Lakkireddy, Randall J Lee, Rafal Trabka and 1 more

Abstract readObservational Study
In one paragraph

Observational study in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Review
  6. Lower-adherence direct oral anticoagulant use is associated with increased risk of thromboembolic events than warfarin.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2024
    Article
  7. Article
  8. A decade later: long-term results of the first percutaneous epicardial closure of the left atrial appendage using the LARIAT device.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Percutaneous left atrial appendage closure using the LAmbre device. First clinical results in Poland.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2019
    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

11 authors.

Radoslaw LitwinowiczDepartment of Cardiovascular Surgery and Transplantology, Jagiellonian University, John Paul II Hospital, Krakow, Poland.ORCID 0000-0003-3736-8987
Magdalena BartusDepartament of Pharmacology, Jagiellonian University, Krakow, Poland.
Marian BuryszDepartment of Cardiac Surgery, Regional Specialist Hospital, Grudziadz, Poland.
Maciej BrzezińskiDepartment of Cardiac and Vacsular Surgery, Medical University of Gdansk, Gdansk, Poland.ORCID 0000-0001-7694-724X
Piotr SuwalskiDepartment of Cardiac Surgery, Central Clinical Hospital of Ministry of Interior, Warsaw, Poland.
Boguslaw KapelakDepartment of Cardiovascular Surgery and Transplantology, Jagiellonian University, John Paul II Hospital, Krakow, Poland.
Venkat VuddandaWarren Alpert School of Medicine, Brown University, Harvard Medical School, Boston MA, United States of America.
Dhanunjaya LakkireddyDivision of Cardiovascular Diseases, Cardiovascular Research Institute, University of Kansas, Kansas City, KS, United States of America.
Randall J LeeDepartment of Medicine, Division of Cardiac Electrophysiology, University of California San Francisco, San Francisco, CA, United States of America.
Rafal TrabkaDepartament of Rehabilitation, Jagiellonian University, Krakow, Poland.
Krzysztof BartusDepartment of Cardiovascular Surgery and Transplantology, Jagiellonian University, John Paul II Hospital, Krakow, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLeft atrial appendage closure (LAAC) with LARIAT offers an alternative to oral anticoagulation (OAC) for patients with atrial fibrillation. The aim of this study was to present long-term clinical outcomes of LAAC in these patients (AF). MATERIAL AND

methodsA prospective, single-center study was performed in 139 patients undergoing LAAC with Lariat. Thromboembolic events, severe bleeding and mortality rate were recorded. The reduction in risk of thromboembolism and bleeding after LAAC was calculated.

resultsThe mean CHADS2-score was 1.8 ± 1.0, mean CHA2DS2-VASc score was 2.9 ± 1.6 and HAS-BLED score was 3.1 ± 1.1. After 428.4 patient-years of follow-up (mean 4.2±1.0 years), the thromboembolism rate was 0.6% with a calculated thromboembolism risk reduction of 81%. The severe bleeding rate was 0.8%; calculated bleeding risk reduction was 78%. The overall mortality rate was 1.6%.

conclusionsLong-term outcomes show that LAAC with Lariat is a safe and effective treatment for stroke prevention and bleeding risk reduction in AF patients with a high level of underlying risk.

Indexed as

AdultAgedAged, 80 and overAtrial AppendageFemaleFollow-Up StudiesHeart DiseasesHumansMaleMiddle AgedPostoperative ComplicationsProspective StudiesStrokeTime FactorsTreatment OutcomeYoung Adult

Identifiers

PMID30566961
PMCPMC6300408

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Registered trials

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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.