Evidence map›Paper›PMID 33489456›Full record

ArticleAmerican journal of cardiovascular disease2020

Intracardiac echocardiography versus transesophageal echocardiography for left atrial appendage closure: an updated meta-analysis and systematic review.

Aravdeep Jhand, Abhishek Thandra, Yeongjin Gwon, Mohit K Turagam, Mahi Ashwath, Pradeep Yadav, Fawaz Alenezi, Jalal Garg, J Dawn Abbott, Dhanunjaya Lakkireddy and 3 more

Abstract read
In one paragraph

Article in American journal of cardiovascular disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Comparison of intracardiac echocardiography with transesophageal echocardiography for left atrial appendage occlusion: an updated systematic review and meta-analysis.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2023
    Pooled it
  3. Article
  4. Review
  5. SCAI Position Statement on Intracardiac Echocardiography to Guide Structural Heart Disease Interventions.Journal of the Society for Cardiovascular Angiography & Interventions · 2025
    Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. A Comprehensive Review of Percutaneous and Surgical Left Atrial Appendage Occlusion.Journal of cardiovascular development and disease · 2024
    Review
  11. Observational
  12. Review
  13. Article
  14. 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

13 authors.

Aravdeep JhandDivision of Cardiology, University of Nebraska Medical Center Omaha, NE, USA.
Abhishek ThandraDivision of Cardiology, Creighton University School of Medicine Omaha, NE, USA.
Yeongjin GwonDepartment of Biostatistics, College of Public Health, University of Nebraska Medical Center Omaha, NE, USA.
Mohit K TuragamDivision of Cardiac Electrophysiology, Icahn School of Medicine at Mount Sinai New York, NY, USA.
Mahi AshwathUniversity of Iowa Iowa City, IA, USA.
Pradeep YadavInterventional Cardiology, Marcus Heart Valve Center, Piedmont Hospital Atlanta, GA, USA.
Fawaz AleneziDuke University Durham, NC, USA.
Jalal GargDivision of Cardiovascular Medicine, Medical College Wisconsin Milwaukee, WI, USA.
J Dawn AbbottDivision of Cardiology, Brown University Providence, RI, USA.
Dhanunjaya LakkireddyKansas City Heart Rhythm Institute and Research Foundation Kansas City, KS, USA.
Manish ParikhWeil Cornell Medicine Brooklyn, NY, USA.
Robert SommerDivision of Cardiology, Columbia University Medical Center New York, NY, USA.
Poonam VelagapudiDivision of Cardiology, University of Nebraska Medical Center Omaha, NE, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intracardiac echocardiography (ICE) has emerged as an alternative to transesophageal echocardiography (TEE) to guide implantation of percutaneous left atrial appendage closure (LAAC) devices in patients with atrial fibrillation (AF) and a high bleeding risk. We reviewed the efficacy and safety of ICE compared to TEE in LAAC in this updated meta-analysis. Medline, CINAHL, EMBASE and Scopus were systematically searched for studies comparing ICE and TEE in percutaneous LAAC. Our primary outcomes of interest were procedural success and study reported periprocedural complications. Secondary outcomes included various procedural characteristics. Risk ratios (RR), standardized mean differences (SMD) and their corresponding 95% confidence intervals (CI) were calculated. The analysis was performed using a random-effect model. Nine observational studies met our inclusion criteria with a total of 2620 patients (ICE: 679 and TEE: 1941). Mean CHA

Indexed as

amplatzer cardiac plugamuletIntracardiac echocardiographyleft atrial appendage closuretransesophageal echocardiographywatchman device

Identifiers

PMID33489456
PMCPMC7811919

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.