ArticleScientific reports2021
Pre-procedural determination of device size in left atrial appendage occlusion using three-dimensional cardiac computed tomography.
Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Outcomes of Adding Computed Tomography Angiography for Pre-procedural Planning of Left Atrial Appendage Occlusion: a Systematic Review and Meta-analysis.Current cardiology reports · 2025Pooled it
- The Integral Role of Cardiac Imaging in the Electrophysiology Field.The Journal of innovations in cardiac rhythm management · 2025Review
- Left atrial appendage occlusion in atrial fibrillation: shaping the future of stroke prevention.Future cardiology · 2025Review
- Usefulness of preprocedural 3-dimensional computed tomography planning in assisting one-stage pulmonary veins isolation with concomitant left atrial appendage occlusion procedure: A pilot study.International journal of cardiology. Heart & vasculature · 2025Article
- Preprocedural cardiac computed tomography versus transesophageal echocardiography for planning left atrial appendage occlusion procedures.Journal of cardiovascular imaging · 2024Review
- Measure twice, implant once.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2024Article
- Computed tomography-based device-sizing in Amplatzer Amulet left atrial appendage occlusion.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2024Article
- The effect of two different methods of planning landing zone for left atrial appendage closure by cardiac computed tomography angiography: a comparative study.Annals of translational medicine · 2023Article
- Cardiac magnetic resonance imaging for preprocedural planning of percutaneous left atrial appendage closure.Frontiers in cardiovascular medicine · 2023Article
- Morphological changes in the orifices of the left atrial appendage and left atrium in patients with atrial fibrillation.Quantitative imaging in medicine and surgery · 2022Article
- Improving Left Atrial Appendage Occlusion Device Size Determination by Three-Dimensional Printing-Based Preprocedural Simulation.Frontiers in cardiovascular medicine · 2022Article
- Interpretable Model for Clinical Use in Left Atrial Appendage Segmentation via an Optimised Deformable-Attention U-Net With Spatial-Channel Fusion.Healthcare technology lettersArticle
- Left Atrial Appendage Occlusion in Cancer-Associated Atrial Fibrillation: Who, When, and How to Manage Antithrombotic Therapy.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/HemostasisReview
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12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The complex structure of the left atrial appendage (LAA) brings limitations to the two-dimensional-based LAA occlusion (LAAO) size prediction system using transesophageal echocardiography. The LAA anatomy can be evaluated more precisely using three-dimensional images from cardiac computed tomography (CT); however, there is lack of data regarding which parameter to choose from CT-based images during pre-procedural planning of LAAO. We aimed to assess the accuracy of measurements derived from cardiac CT images for selecting LAAO devices. We retrospectively reviewed 62 patients with Amplatzer Cardiac Plug and Amulet LAAO devices who underwent implantation from 2017 to 2020. The minimal, maximal, average, area-derived, and perimeter-derived diameters of the LAA landing zone were measured using CT-based images. Predicted device sizes using sizing charts were compared with actual successfully implanted device sizes. The mean size of implanted devices was 27.1 ± 3.7 mm. The perimeter-derived diameter predicted device size most accurately (mean error = - 0.8 ± 2.4 mm). All other parameters showed significantly larger error (mean error; minimal diameter = - 4.9 ± 3.3 mm, maximal diameter = 1.0 ± 2.9 mm, average diameter = - 1.6 ± 2.6 mm, area-derived diameter = - 2.0 ± 2.6 mm) than the perimeter-derived diameter (all p for difference < 0.05). The error for other parameters were larger in cases with more eccentrically-shaped landing zones, while the perimeter-derived diameter had minor error regardless of eccentricity. When oversizing was used, all parameters showed significant disagreement. The perimeter-derived diameter on cardiac CT images provided the most accurate estimation of LAAO device size regardless of landing zone eccentricity. Oversizing was unnecessary when using cardiac CT to predict an accurate LAAO size.
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