Evidence map›Paper›PMID 34208117›Full record

ArticleJournal of cardiovascular development and disease2021

Comparison of Left Atrial Appendage Occlusion versus Non-Vitamin-K Antagonist Oral Anticoagulation in High-Risk Atrial Fibrillation: An Update.

Shaojie Chen, K R Julian Chun, Zhiyu Ling, Shaowen Liu, Lin Zhu, Jiazhi Wang, Alexandra Schratter, Willem-Jan Acou, Márcio Galindo Kiuchi, Yuehui Yin and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of cardiovascular development and disease, 2021. 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
1.4field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. 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

11 authors at 7 institutions in 5 countries.

Shaojie ChenCardioangiologisches Centrum Bethanien (CCB), Kardiologie, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Akademisches Lehrkrankenhaus der Goethe-Universität Frankfurt am Main, 60431 Frankfurt am Main, Germany.
K R Julian ChunCardioangiologisches Centrum Bethanien (CCB), Kardiologie, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Akademisches Lehrkrankenhaus der Goethe-Universität Frankfurt am Main, 60431 Frankfurt am Main, Germany.
Zhiyu LingDepartment of Cardiology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400000, China.
Shaowen LiuDepartment of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200000, China.
Lin ZhuMedizinisch-Geriatrische Klinik, Agaplesion Markus Krankenhaus, Akademisches Lehrkrankenhaus der Goethe-Universität Frankfurt am Main, 60431 Frankfurt am Main, Germany.
Jiazhi WangIntensivmedizin, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany.
Alexandra SchratterMedizinische Abteilung mit Kardiologie, Krankenhaus Hietzing Wien, 1130 Vienna, Austria.
Willem-Jan AcouDepartment of Cardiology, AZ Delta, 8800 Roeselare, Belgium.
Márcio Galindo KiuchiSchool of Medicine-Royal Perth Hospital Unit, University of Western Australia, Perth 6907, Australia.ORCID 0000-0002-1155-8590
Yuehui YinDepartment of Cardiology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400000, China.
Boris SchmidtCardioangiologisches Centrum Bethanien (CCB), Kardiologie, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Akademisches Lehrkrankenhaus der Goethe-Universität Frankfurt am Main, 60431 Frankfurt am Main, Germany.
Goethe University Frankfurt · DEDalian Medical University · CNAZ Delta · BECharité - Universitätsmedizin Berlin · DEKlinik Hietzing · ATShanghai Jiao Tong University · CNThe University of Western Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transcatheter left atrial appendage occlusion (LAAO) is non-inferior to vitamin K antagonists (VKAs) in preventing thromboembolic events in atrial fibrillation (AF). Non-vitamin K antagonists (NOACs) have an improved safety profile over VKAs; however, evidence regarding their effect on cardiovascular and neurological outcomes relative to LAAO is limited. Up-to-date randomized trials or propensity-score-matched data comparing LAAO vs. NOACs in high-risk patients with AF were pooled in our study. A total of 2849 AF patients (LAAO: 1368, NOACs: 1481, mean age: 75 ± 7.5 yrs, 63.5% male) were enrolled. The mean CHA2DS2-VASc score was 4.3 ± 1.7, and the mean HAS-BLED score was 3.4 ± 1.2. The baseline characteristics were comparable between the two groups. In the LAAO group, the success rate of device implantation was 98.8%. During a mean follow-up of 2 years, as compared with NOACs, LAAO was associated with a significant reduction of ISTH major bleeding (

Indexed as

anticoagulationatrial fibrillationleft atrial appendage occlusionstroke

Identifiers

PMID34208117
PMCPMC8230807
OpenAlexW3170810059

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.