Evidence map›Paper›PMID 36362774›Full record

ArticleJournal of clinical medicine2022

Not to Rush-Laboratory Parameters and Procedural Complications in Patients Undergoing Left Atrial Appendage Closure.

David Zweiker, Lukas Fiedler, Gabor G Toth, Andreas Strouhal, Georg Delle-Karth, Guenter Stix, Harald Gabriel, Ronald K Binder, Martin Rammer, Michael Pfeffer and 13 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 33% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Left atrial appendage occlusion in patients with end-stage renal disease: an individual patient-level meta-analysis.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Pooled it
  2. 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

23 authors at 8 institutions in 3 countries.

David ZweikerDepartment of Cardiology, Medical University of Graz, Auenbruggerplatz 15, 8036 Graz, Austria.ORCID 0000-0002-7479-7767
Lukas FiedlerDepartment of Internal Medicine, Cardiology and Nephrology, Hospital Wiener Neustadt, 2700 Wiener Neustadt, Austria.ORCID 0000-0003-2626-3098
Gabor G TothDepartment of Cardiology, Medical University of Graz, Auenbruggerplatz 15, 8036 Graz, Austria.
Andreas StrouhalDepartment of Cardiology, Hospital Nord-Klinik Floridsdorf, 1210 Vienna, Austria.
Georg Delle-KarthDepartment of Cardiology, Hospital Nord-Klinik Floridsdorf, 1210 Vienna, Austria.
Guenter StixDepartment of Internal Medicine II, Medical University of Vienna, 1090 Vienna, Austria.
Harald GabrielDepartment of Internal Medicine II, Medical University of Vienna, 1090 Vienna, Austria.
Ronald K BinderDepartment of Internal Medicine II, Klinikum Wels-Grieskirchen, 4600 Wels, Austria.
Martin RammerDepartment of Internal Medicine II, Klinikum Wels-Grieskirchen, 4600 Wels, Austria.
Michael PfefferDepartment of Internal Medicine, Cardiology and Nephrology, Hospital Wiener Neustadt, 2700 Wiener Neustadt, Austria.
Paul VockDepartment of Internal Medicine III, University Hospital St. Pölten, 3100 St. Pölten, Austria.
Brigitte LilegDepartment of Internal Medicine III, University Hospital St. Pölten, 3100 St. Pölten, Austria.ORCID 0000-0001-8915-381X
Clemens SteinwenderDepartment of Cardiology, Kepler University Hospital, 4020 Linz, Austria.
Kurt SihorschDepartment of Cardiology, Kepler University Hospital, 4020 Linz, Austria.
Florian HintringerDepartment of Internal Medicine III, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Silvana MuellerDepartment of Internal Medicine III, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Fabian BarbieriDepartment of Internal Medicine III, Medical University of Innsbruck, 6020 Innsbruck, Austria.ORCID 0000-0003-4456-1822
Martin MartinekDepartment of Internal Medicine II, Elisabethinen Hospital, 4020 Linz, Austria.
Wolfgang TkalecDepartment of Internal Medicine II, Elisabethinen Hospital, 4020 Linz, Austria.
Nicolas VerheyenDepartment of Cardiology, Medical University of Graz, Auenbruggerplatz 15, 8036 Graz, Austria.
Klemens AblasserDepartment of Cardiology, Medical University of Graz, Auenbruggerplatz 15, 8036 Graz, Austria.
Andreas ZirlikDepartment of Cardiology, Medical University of Graz, Auenbruggerplatz 15, 8036 Graz, Austria.ORCID 0000-0001-6290-3297
Daniel ScherrDepartment of Cardiology, Medical University of Graz, Auenbruggerplatz 15, 8036 Graz, Austria.
Medical University of Graz · ATInnsbruck Medical University · ATFachhochschule Wiener Neustadt · ATKepler Universitätsklinikum · ATKlinikum Wels-Grieskirchen · ATKrankenhaus der Elisabethinen · ATMedical University of Vienna · ATUniversitätsklinikum St. Pölten · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: As a preventive procedure, minimizing periprocedural risk is crucially important during left atrial appendage closure (LAAC). Methods: We included consecutive patients receiving LAAC at nine centres and assessed the relationship between baseline characteristics and the acute procedural outcome. Major procedural complications were defined as all complications requiring immediate invasive intervention or causing irreversible damage. Logistic regression was performed and included age and left-ventricular function. Furthermore, the association between acute complications and long-term outcomes was evaluated. Results: A total of 405 consecutive patients with a median age of 75 years (37% female) were included. 47% had a history of stroke. Median CHA2DS2-VASc score was 4 (interquartile range, 3−5) and the median HAS-BLED score was 3 (2−4). Major procedural complications occurred in 7% of cases. Low haemoglobin (OR 0.8, 95% CI 0.65−0.99 per g/dL, p = 0.040) and end-stage kidney disease (OR 13.0, CI 2.5−68.5, p = 0.002) remained significant in multivariate analysis. Anaemia (haemoglobin < 12 and < 13 g/dL in female and male patients) increased the risk of complications 2.2-fold. Conclusions: The major complication rate was low in this high-risk patient population undergoing LAAC. End-stage kidney disease and low baseline haemoglobin were independently associated with a higher major complication rate.

Indexed as

atrial fibrillationcomplicationsdialysishaemoglobinleft atrial appendage closure

Identifiers

PMID36362774
PMCPMC9656817
OpenAlexW4308197105

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.