Evidence map›Paper›PMID 31953708›Full record

SynthesisJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2021

Evaluating the role of transesophageal echocardiography (TEE) or intracardiac echocardiography (ICE) in left atrial appendage occlusion: a meta-analysis.

Krishna Akella, Ghulam Murtaza, Mohit Turagam, Sharan Sharma, Bader Madoukh, Anish Amin, Rakesh Gopinathannair, Dhanunjaya Lakkireddy

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
3.4field-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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.

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  17. Left atrial appendage occlusion: does it get the seal of approval?Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2023
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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

8 authors at 4 institutions in 1 country.

Krishna AkellaThe Kansas City Heart Rhythm Institute (KCHRI) HCA MidWest, Overland Park Regional Medical Center, 12200 W 106th Street, Overland Park, KS, 66215, USA.
Ghulam MurtazaThe Kansas City Heart Rhythm Institute (KCHRI) HCA MidWest, Overland Park Regional Medical Center, 12200 W 106th Street, Overland Park, KS, 66215, USA.
Mohit TuragamDivision of Cardiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Sharan SharmaDepartment of Cardiology, Garden City Hospital, Garden City, MI, USA.
Bader MadoukhDepartment of Internal Medicine, Overland Park Regional Medical Center, Overland Park, KS, USA.
Anish AminSection of Cardiac Electrophysiology, Department of Cardiology, OhioHealth Heart and Vascular Physicians, Riverside Methodist Hospital, 3535 Olentangy River Road, Columbus, OH, 43214, USA.
Rakesh GopinathannairThe Kansas City Heart Rhythm Institute (KCHRI) HCA MidWest, Overland Park Regional Medical Center, 12200 W 106th Street, Overland Park, KS, 66215, USA.
Dhanunjaya LakkireddyThe Kansas City Heart Rhythm Institute (KCHRI) HCA MidWest, Overland Park Regional Medical Center, 12200 W 106th Street, Overland Park, KS, 66215, USA. dlakkireddy@kchri.org.
Regional Medical Center · USGarden City Community College · USIcahn School of Medicine at Mount Sinai · USOhioHealth · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIntracardiac echocardiography (ICE) is increasingly common among periprocedural imaging modalities used during complex cardiac procedures. We sought to perform a meta-analysis comparing transesophageal echocardiography (TEE) and ICE in endocardial left atrial appendage occlusion (LAAO).

methodsWe searched PubMed and Google Scholar regarding abstracts and manuscripts using keywords: atrial fibrillation, left atrial appendage occlusion, Watchman, Amplatzer Cardiac Plug, Amulet, intracardiac echocardiography, and transesophageal echocardiography from their inception to July 12, 2019. Data extraction was performed using standard form for the following: title, year of publication, sample size, comorbid conditions, LAAO device, type of pre-procedural imaging, intraprocedural imaging, and clinical outcomes including the following: acute procedural success, fluoroscopy, and total procedure time and complications.

resultsA total of 42 relevant studies were screened resulting in inclusion of 8 observational studies comparing TEE and ICE in endocardial LAAO. Outcomes assessed including procedural success (RR 1.00, 95% CI (0.97-1.03, p = 0.98)), complications (RR 0.77, 95% CI (0.52 to 1.15, p = 0.20)), fluoroscopy time (mean difference - 0.40, 95% CI (-3.12-2.32, p = 0.77)), and procedural time (mean difference - 8.02, 95% CI (-22.81 to 6.76, p = 0.29)) were found to be similar between both groups.

conclusionsWhile TEE is the gold standard for perioperative imaging with LAAO, ICE is a feasible and safe alternative that reduces exposure to general anesthesia and associated potential risks.

Indexed as

Atrial AppendageAtrial FibrillationEchocardiography, TransesophagealCardiac CatheterizationHumansPredictive Value of TestsTreatment OutcomeACPAmuletICEIntracardiac echocardiographyLAAOLeft atrial appendage occlusionTEETransesophageal echocardiogramWatchman

Identifiers

PMID31953708
OpenAlexW2999526521

What OpenQuestion holds

Textmetadata
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.