Evidence map›Paper›PMID 32439033›Full record

SynthesisJACC. Clinical electrophysiology2020

Short-Term Antiplatelet Versus Anticoagulant Therapy After Left Atrial Appendage Occlusion: A Systematic Review and Meta-Analysis.

Mohammed Osman, Tatiana Busu, Khansa Osman, Safi U Khan, Matthew Daniels, David R Holmes, Mohamad Alkhouli

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in JACC. Clinical electrophysiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
2.4field-weighted citation impact, top 10% 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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Percutaneous left atrial appendage closure for stroke prevention: current challenges and future perspectives.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Review
  5. Review
  6. Review
  7. Antiplatelet Therapy in Heart Disease.Reviews in cardiovascular medicine · 2025
    Review
  8. Review
  9. Review
  10. Navigating the complexities of antithrombotic therapy after LAAO.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2024
    Article
  11. Review
  12. Article
  13. Review
  14. Review
  15. Review
  16. Review
  17. Low Dose of Direct Oral Anticoagulants after Left Atrial Appendage Occlusion.Journal of cardiovascular development and disease · 2021
    Article
  18. SCAI/HRS Expert Consensus Statement on Transcatheter Left Atrial Appendage Closure.Journal of the Society for Cardiovascular Angiography & Interventions
    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

7 authors at 2 institutions in 1 country.

Mohammed OsmanDivision of Cardiology, West Virginia University School of Medicine, Morgantown, West Virginia, USA.
Tatiana BusuDivision of Cardiology, West Virginia University School of Medicine, Morgantown, West Virginia, USA.
Khansa OsmanMichigan Health Specialist, Michigan State University, Flint, Michigan, USA.
Safi U KhanDivision of Cardiology, West Virginia University School of Medicine, Morgantown, West Virginia, USA.
Matthew DanielsDivision of Cardiovascular Medicine, Department of Medicine, University of Oxford, Oxford, United Kingdom.
David R HolmesDepartment of Cardiovascular Diseases, Mayo Clinic School of Medicine, Rochester, Minnesota, USA.
Mohamad AlkhouliDepartment of Cardiovascular Diseases, Mayo Clinic School of Medicine, Rochester, Minnesota, USA. Electronic address: alkhouli.mohamad@mayo.edu.
West Virginia University · USMayo Clinic · US

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Laura F. Gibson · 2012 to 2026
$81.0M
NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

objectivesThe aim of this study was to compare bleeding, thromboembolic, device-related thrombus (DRT), and all-cause mortality events between patients treated with short-term oral anticoagulation (OAC) and those treated with short-term antiplatelet therapy (APT) following left atrial appendage occlusion (LAAO).

backgroundShort-term OAC is recommended for patients following LAAO. However, in practice many patients receive APT rather than OAC because of excessive bleeding risk. However, the safety and efficacy of APT compared with OAC have been debated.

methodsA search was conducted of databases for studies comparing OAC with APT following LAAO. The outcomes of interest were all-cause stroke, major bleeding, DRT, and all-cause mortality. Noncomparative studies were pooled into a single study to generate comparisons of the studies' outcomes. Effects measure were pooled using the random-effect model.

resultsA total of 83 studies with 12,326 patients (APT, n = 7,900; OAC, n = 4,151) were included. Mean CHA

conclusionsIn a meta-analysis of observational data, there were no differences in the occurrence of stroke, major bleeding DRT, and all-cause mortality in patients treated with short-term OAC or APT following LAAO.

Indexed as

Atrial AppendageAtrial FibrillationThromboembolismAnticoagulantsHumansTreatment OutcomeAnticoagulantsantiplatelet therapyatrial fibrillationleft atrial appendage occlusionoral anticoagulationstroke

Identifiers

PMID32439033
PMCPMC7988890
OpenAlexW3003778021

What OpenQuestion holds

Textmetadata
LicenceTDM
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.