Evidence map›Paper›PMID 37397616›Full record

ArticleCJC open2023

Stroke Prevention With Left Atrial Appendage Closure in Patients With Atrial Fibrillation and Prior Intracranial Hemorrhage.

Thomas S Gilhofer, Thomas Nestelberger, Mehima Kang, Taku Inohara, Mesfer Alfadhel, Cameron McAlister, Claudia Reddavid, Rohit Samuel, Thalia Field, Philip Teal and 3 more

Abstract read
In one paragraph

Article in CJC open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

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

  1. Pooled it
  2. Article
  3. 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.

Thomas S GilhoferDivision of Cardiology, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Thomas NestelbergerDivision of Cardiology, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Mehima KangDivision of Cardiology, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Taku InoharaDivision of Cardiology, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Mesfer AlfadhelDivision of Cardiology, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Cameron McAlisterDivision of Cardiology, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Claudia ReddavidDivision of Cardiology, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Rohit SamuelDivision of Cardiology, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Thalia FieldDivision of Cardiology, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Philip TealDivision of Neurology, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Oscar BeneventeDivision of Neurology, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Michael TsangDivision of Cardiology, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Jacqueline SawDivision of Cardiology, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Oral anticoagulation (OAC) is deemed a relative contraindication after intracranial hemorrhage (ICH) if the cause cannot be eliminated and the risk of recurrence is high. That leaves atrial fibrillation (AF) patients at high risk of thromboembolic events. Endovascular left atrial appendage closure (LAAC) can be an alternative to OAC for patients requiring stroke prevention. Methods: We performed a retrospective single-centre analysis of 138 consecutive ICH patients with nonvalvular AF and high stroke risk who underwent LAAC between 2010 and 2022 at Vancouver General Hospital. We report the baseline characteristics, procedural results, and follow-up data, comparing the observed stroke/transient ischemic attack (TIA) rate with the predicted event rate based on their CHA Results: The average age was 76.1 ± 8.5 years; the mean CHA Conclusion: Endovascular LAAC is a feasible alternative to OAC for stroke prevention in patients with nonvalvular AF and prior ICH.

Identifiers

PMID37397616
PMCPMC10314096

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.