Evidence map›Paper›PMID 31687066›Full record

ArticleJournal of atrial fibrillation2019

The Safety and Feasibility of Same-Day Discharge After Implantation of MICRA Transcatheter Leadless Pacemaker System.

Soroosh Kiani, George B Black, Birju Rao, Nancy Thakkar, Christopher Massad, Akshar V Patel, Marvin Louis Roy Lu, Faisal M Merchant, Michael H Hoskins, David B De Lurgio and 6 more

Abstract read
In one paragraph

Article in Journal of atrial fibrillation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Leadless pacing in young patients.European heart journal supplements : journal of the European Society of Cardiology · 2025
    Article
  3. Is day-case surgical procedure safe for MICRA leadless pacemaker implantation?Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2025
    Article
  4. Same-day discharge after transvenous lead extraction: feasibility and outcomes.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Article
  5. On the Management of Ventricular Arrhythmias Following Leadless Pacemaker Implantation.The Journal of innovations in cardiac rhythm management · 2021
    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

16 authors.

Soroosh KianiEmory University School of Medicine, Department of Medicine, Division of Cardiovascular Disease.
George B BlackEmory University School of Medicine, Department of Medicine, Division of Cardiovascular Disease.
Birju RaoEmory University School of Medicine, Department of Medicine.
Nancy ThakkarEmory University School of Medicine, Department of Medicine.
Christopher MassadEmory University School of Medicine, Department of Medicine.
Akshar V PatelEmory University.
Marvin Louis Roy LuEmory University School of Medicine, Department of Medicine, Division of Cardiovascular Disease.
Faisal M MerchantEmory University School of Medicine, Department of Medicine, Division of Cardiovascular Disease.
Michael H HoskinsEmory University School of Medicine, Department of Medicine, Division of Cardiovascular Disease.
David B De LurgioEmory University School of Medicine, Department of Medicine, Division of Cardiovascular Disease.
Anshul M PatelEmory University School of Medicine, Department of Medicine, Division of Cardiovascular Disease.
Anand D ShahEmory University School of Medicine, Department of Medicine, Division of Cardiovascular Disease.
Angel R LeonEmory University School of Medicine, Department of Medicine, Division of Cardiovascular Disease.
Stacy B WestermanEmory University School of Medicine, Department of Medicine, Division of Cardiovascular Disease.
Michael S LloydEmory University School of Medicine, Department of Medicine, Division of Cardiovascular Disease.
Mikhael F El-ChamiEmory University School of Medicine, Department of Medicine, Division of Cardiovascular Disease.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData suggests that same day discharge after implantation of trans-venous pacemakers is safe and feasible. We sought to determine whether same day discharge was feasible and safe following implantation of Medtronic MICRA leadless pacemakers.

methodsWe retrospectively identified all patients undergoing MICRA placement at our institution between April 2014 to August 2018 (n=167). Patients were stratified into two groups: those discharged on the same day as their procedure (SD, n=25), and those observed for at least one night in the hospital (HD, n=142). The primary endpoint included a composite of major complications including: access site complications, new pericardial effusion, device dislodgement, and need for device revision up to approximately 45 days of follow up.

resultsSD and HD had similar age (75±13 vs. 75±13 years, p=0.923), prevalence of male sex (49 vs. 44%, p=0.669), and frequency of high-grade heart block as an indication for pacing (38 vs. 32%, p=0.596). There were more Caucasians in the SD group (72 vs. 66%, p=0.038). The rate of the composite endpoint was statistically non-significantly higher in the HD group (3.5% vs. 0.0%, p=1.00). The rates of each individual components comprising the composite endpoint were similar between groups.

conclusionsOur data suggest that in appropriately selected patients, same day discharge can occur safely following Micra leadless pacemaker implantation.

Indexed as

DischargeMICRAPacemaker

Identifiers

PMID31687066
PMCPMC6811338

What OpenQuestion holds

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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.