Evidence map›Paper›PMID 32236717›Full record

ArticleClinical research in cardiology : official journal of the German Cardiac Society2020

Left atrial appendage closure in patients with a reduced left ventricular ejection fraction: results from the multicenter German LAARGE registry.

Christian Fastner, Johannes Brachmann, Thorsten Lewalter, Uwe Zeymer, Horst Sievert, Martin Borggrefe, Christian Weiß, Volker Geist, Alexander Krapivsky, Matthias Käunicke and 5 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02230748 (Left-Atrium-Appendage Occluder Register - GErmany), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 21% 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.

NCT02230748 completednot on this map

Left-Atrium-Appendage Occluder Register - GErmany

TypeobservationalSponsorStiftung Institut fuer HerzinfarktforschungRan2014 to 2017Enrolled643ConditionsAtrial Fibrillation, Stroke
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. 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

15 authors at 12 institutions in 2 countries.

Christian FastnerFirst Department of Medicine, University Medical Centre Mannheim (UMM), Faculty of Medicine Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany.
Johannes BrachmannDepartment of Cardiology, Angiology, and Pneumology, Second Medical Clinic, Coburg Hospital, Coburg, Germany.
Thorsten LewalterDepartment of Medicine, Cardiology, and Intensive Care, Hospital Munich-Thalkirchen, Munich, Germany.
Uwe ZeymerKlinikum Ludwigshafen, Ludwigshafen am Rhein, Germany.
Horst SievertCardioVascular Center (CVC) Frankfurt, Frankfurt, Germany.
Martin BorggrefeFirst Department of Medicine, University Medical Centre Mannheim (UMM), Faculty of Medicine Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany.
Christian WeißDepartment of Cardiology, Klinikum Lüneburg, Lüneburg, Germany.
Volker GeistDepartment of Cardiology, Heart Center, Segeberger Kliniken, Bad Segeberg, Germany.
Alexander KrapivskyDepartment of Cardiology, Evangelisches Krankenhaus, Mülheim (Ruhr), Germany.
Matthias KäunickeDepartment of Cardiology, University of Witten/Herdecke, Katholisches Klinikum Essen, Essen, Germany.
Harald MudraDepartment of Cardiology, Klinikum Neuperlach, Munich, Germany.
Matthias HochadelStiftung Institut für Herzinfarktforschung, Ludwigshafen am Rhein, Germany.
Steffen SchneiderStiftung Institut für Herzinfarktforschung, Ludwigshafen am Rhein, Germany.
Jochen SengesStiftung Institut für Herzinfarktforschung, Ludwigshafen am Rhein, Germany.
Ibrahim AkinFirst Department of Medicine, University Medical Centre Mannheim (UMM), Faculty of Medicine Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany. ibrahim.akin@umm.de.
Stiftung Institut für Herzinfarktforschung · DEGerman Centre for Cardiovascular Research · DEAnglia Ruskin University · GBEvangelisches Krankenhaus Kalk · DEHeidelberg University · DEKatholisches Klinikum Essen · DEKlinikum Coburg · DEKlinikum Ludwigshafen · DEKlinikum Lüneburg · DEMünchen Klinik · DEMünchen Klinik Neuperlach · DESegeberger Kliniken · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInterventional left atrial appendage closure (LAAC) effectively prevents thromboembolic events in atrial fibrillation patients. Impaired left ventricular ejection fraction (LVEF) increases not only the thromboembolic risk but also the complication rates of cardiac interventions. The LAAC procedure's benefit in patients with an impaired LVEF, therefore, has yet to be investigated.

methodsLAARGE is a prospective, non-randomized registry depicting the clinical reality of LAAC in Germany. Procedure was conducted with different standard commercial devices, and follow-up period was one year. In the sense of an as-treated analysis, patients with started procedure and documented LVEF were selected from the whole database.

results619 patients from 37 centers were categorized into one of three groups: LVEF > 55% (56%), 36-55% (36%), and ≤ 35% (8%). Prevalence of cardiovascular comorbidity increased with LVEF reduction (p < 0.001 for trend). CHA

conclusionsLVEF reduction neither influenced the procedural success nor the effectiveness and safety of stroke prevention by LAAC.

trial registrationClinicalTrials.gov Identifier: NCT02230748.

Indexed as

RegistriesSeptal Occluder DeviceAgedAged, 80 and overAtrial AppendageAtrial FibrillationCardiac Surgical ProceduresFemaleFollow-Up StudiesGermanyHumansMaleProspective StudiesStroke VolumeTreatment OutcomeVentricular Function, LeftAtrial fibrillationBleeding riskDepressed left ventricular functionIschemic strokeLAA closureLAARGE

Identifiers

PMID32236717
PMCPMC7588387
OpenAlexW3014957358

What OpenQuestion holds

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Registered trials

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.