Evidence map›Paper›PMID 30820276›Full record

ReviewWorld journal of cardiology2019

Percutaneous devices for left atrial appendage occlusion: A contemporary review.

Homam Moussa Pacha, Yasser Al-Khadra, Mohamad Soud, Fahed Darmoch, Abdulghani Moussa Pacha, M Chadi Alraies

Open access · hybridAbstract readReview
In one paragraph

Review in World journal of cardiology, 2019. 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
3.7field-weighted citation impact, top 6% 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

12 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Strategies for surface coatings of implantable cardiac medical devices.Frontiers in bioengineering and biotechnology · 2023
    Review
  6. Effects of Left Atrial Appendage Closure on Neuroendocrine Function in Patients with Nonvalvular Atrial Fibrillation.Medical science monitor : international medical journal of experimental and clinical research · 2022
    Article
  7. Article
  8. Amulet™ Shines and Protects; Pacing Battle Intensifies with "More Leads or No Leads"?The Journal of innovations in cardiac rhythm management · 2022
    Article
  9. Left atrial appendage exclusion in atrial fibrillation.Frontiers in cardiovascular medicine · 2022
    Review
  10. Watchman outcomes comparing post-implantation anticoagulation with warfarin versus direct oral anticoagulants.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2021
    Article
  11. Article
  12. Review
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

6 authors at 1 institution in 1 country.

Homam Moussa PachaMedStar Washington Hospital Center, Washington, DC 20010, United States.
Yasser Al-KhadraCleveland Clinic, Medicine Institute, Cleveland, OH 44195, United States.
Mohamad SoudMedStar Washington Hospital Center, Washington, DC 20010, United States.
Fahed DarmochBeth Israel Deaconess Medical center/Harvard Medical School, Boston, MA 02215, United States.
Abdulghani Moussa PachaUniversity Hospital of Mainz, Mainz 55122, Germany.
M Chadi AlraiesWayne State University, Detroit Medical Center, Detroit Heart Hospital, Detroit, MI 48201, United States. makraies@dmc.org.
MedStar Washington Hospital Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patient with atrial fibrillation (AF) are at risk of developing stroke with the left atrial appendage (LAA) being the most common site for thrombus formation. If left untreated, AF is associated with 4 to 5 folds increase in the risk of ischemic stroke in all age groups. About 5% to 15% of AF patients have atrial thrombi on transesophageal echocardiography, and 91% of those thrombi are located in the LAA in patient with nonrheumatic AF. Although oral anticoagulants are the gold-standard treatment for stroke prevention in patients with non-valvular AF, some patients are at high risk of bleeding and deemed not candidates for anticoagulation. Therefore, LAA occlusion (LAAO) has emerged as alternative approach for stroke prevention in those patients. Surgical LAAO is associated with high rate of unsuccessful closure and recommended only in patients with AF and undergoing cardiac surgery. Percutaneous LAAO uses transvenous access with trans-septal puncture and was first tested using the PLAATO device. Watchman is the most common and only Food and Drug Administration (FDA) approved device for LAAO. LAAO using Watchman device is non-inferior to warfarin therapy in preventing ischemic stroke/systemic thromboembolism. However, it is associated with lower rates of hemorrhagic stroke, bleeding and death. Amplatzer is another successful LAAO device that has CE mark and is waiting for FDA approval. Optimal antithrombotic therapy post LAAO is still under debate and highly patient-specific. The aim of this paper is to systematically review the current literature to evaluate the efficacy and safety of different LAAO devices.

Indexed as

AnticoagulationAtrial fibrillationLeft atrial appendageMortalityStroke

Identifiers

PMID30820276
PMCPMC6391622
OpenAlexW2917734194

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.