Evidence map›Paper›PMID 31365601›Full record

Observational studyArquivos brasileiros de cardiologia2019

Left Atrial Appendage Transcatheter Occlusion with AMPLATZER™ Amulet™ Device: Real Life Data with Mid-Term Follow-Up Results.

Mehmet Levent Şahiner, Ergun Baris Kaya, Cem Çöteli, Kudret Aytemir

Open access · diamondAbstract readObservational Study
In one paragraph

Observational study in Arquivos brasileiros de cardiologia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pulmonary artery perforation after percutaneous left atrial appendage closure: two case reports and review of literature.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2025
    Review
  4. Article
  5. Review
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Mehmet Levent ŞahinerHacettepe Universitesi Tip Fakultesi - Department of Cardiogly, Ankara - Turkey.ORCID 0000-0002-0985-3144
Ergun Baris KayaHacettepe Universitesi Tip Fakultesi - Department of Cardiogly, Ankara - Turkey.ORCID 0000-0002-4424-3704
Cem ÇöteliHacettepe Universitesi Tip Fakultesi - Department of Cardiogly, Ankara - Turkey.ORCID 0000-0001-5520-7103
Kudret AytemirHacettepe Universitesi Tip Fakultesi - Department of Cardiogly, Ankara - Turkey.ORCID 0000-0001-9279-8424
Hacettepe University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeft atrial appendage (LAA) occlusion is an alternative therapy for atrial fibrillation patients who have high embolic risk and contraindications to anticoagulant therapy.

objectiveTo evaluate the feasibility, safety, and mid-term outcomes of percutaneous LAA occlusion, including device-related thrombosis.

methodsSixty consecutive patients who had undergone percutaneous LAA occlusion with AMPLATZER™ Amulet™ device from September 2015 to March 2018 were enrolled. Patients were followed for 21 ± 15 months (median - 20 months, interquartile range - 9 to 27 months). The postprocedural assessment was done at the 1(st), 6(th), and 12(th) month. Patients were clinically evaluated, and transesophageal echocardiography was performed at each visit. We evaluated the condition of normality of variables using the Kolmogorov-Smirnov test. P-values < 0.05 were statistically significant.

resultsThe most common indication for the procedure was major bleeding with anticoagulants (n: 53, 88.3%). The procedure was completed successfully in 59 (98.3%) patients. Periprocedural mortality was observed in one patient. Postprocedural antiplatelet treatment was planned as dual or single antiplatelet therapy or low-dose anticoagulant therapy in 52 (88.1%), 2 (3.4%), and 5 (8.5%) patients, respectively. We found no clinically significant cerebrovascular events, device-related thrombus, or embolization in any patient during the follow-up. Two (3.4 %) patients presented significant peri-device leak (>3 mm) at the 1st month evaluation, which disappeared at the 12th month follow-up.

conclusionWe concluded that LAA occlusion using the Amulet™ LAA occluder can be performed with high procedural success and acceptable outcomes.

Indexed as

Septal Occluder DeviceAgedAged, 80 and overAnticoagulantsAtrial AppendageAtrial FibrillationCardiac CatheterizationEchocardiographyEchocardiography, TransesophagealFemaleFollow-Up StudiesHemorrhageHumansMaleMiddle AgedPlatelet Aggregation InhibitorsAnticoagulantsPlatelet Aggregation Inhibitors

Identifiers

PMID31365601
PMCPMC7020865
OpenAlexW2960272337

What OpenQuestion holds

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LicenceCC BY
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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.