Evidence map›Paper›PMID 37424915›Full record

ArticleFrontiers in cardiovascular medicine2023

Cardiac magnetic resonance imaging for preprocedural planning of percutaneous left atrial appendage closure.

Dagmar Bertsche, Patrick Metze, Erfei Luo, Tillman Dahme, Birgid Gonska, Wolfgang Rottbauer, Ina Vernikouskaya, Volker Rasche, Leonhard M Schneider

Open access · goldAbstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. The Integral Role of Cardiac Imaging in the Electrophysiology Field.The Journal of innovations in cardiac rhythm management · 2025
    Review
  2. A Comprehensive Review of Percutaneous and Surgical Left Atrial Appendage Occlusion.Journal of cardiovascular development and disease · 2024
    Review
  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

9 authors at 1 institution in 1 country.

Dagmar BertscheDepartment of Internal Medicine II, Ulm University Medical Center, Ulm, Germany.
Patrick MetzeDepartment of Internal Medicine II, Ulm University Medical Center, Ulm, Germany.
Erfei LuoDepartment of Internal Medicine II, Ulm University Medical Center, Ulm, Germany.
Tillman DahmeDepartment of Internal Medicine II, Ulm University Medical Center, Ulm, Germany.
Birgid GonskaDepartment of Internal Medicine II, Ulm University Medical Center, Ulm, Germany.
Wolfgang RottbauerDepartment of Internal Medicine II, Ulm University Medical Center, Ulm, Germany.
Ina VernikouskayaDepartment of Internal Medicine II, Ulm University Medical Center, Ulm, Germany.
Volker RascheDepartment of Internal Medicine II, Ulm University Medical Center, Ulm, Germany.
Leonhard M SchneiderDepartment of Internal Medicine II, Ulm University Medical Center, Ulm, Germany.
Universität Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Percutaneous closure of the left atrial appendage (LAA) facilitates stroke prevention in patients with atrial fibrillation. Optimal device selection and positioning are often challenging due to highly variable LAA shape and dimension and thus require accurate assessment of the respective anatomy. Transesophageal echocardiography (TEE) and x-ray fluoroscopy (XR) represent the gold standard imaging techniques. However, device underestimation has frequently been observed. Assessment based on 3-dimensional computer tomography (CTA) has been reported as more accurate but increases radiation and contrast agent burden. In this study, the use of non-contrast-enhanced cardiac magnetic resonance imaging (CMR) to support preprocedural planning for LAA closure (LAAc) was investigated. Methods: CMR was performed in thirteen patients prior to LAAc. Based on the 3-dimensional CMR image data, the dimensions of the LAA were quantified and optimal C-arm angulations were determined and compared to periprocedural data. Quantitative figures used for evaluation of the technique comprised the maximum diameter, the diameter derived from perimeter and the area of the landing zone of the LAA. Results: Perimeter- and area-based diameters derived from preprocedural CMR showed excellent congruency compared to those measured periprocedurally by XR, whereas the respective maximum diameter resulted in significant overestimation ( Discussion: This small pilot study demonstrates the potential of non-contrast-enhanced CMR to support preprocedural planning of LAAc. Diameter measurements based on LAA area and perimeter correlated well with the actual device selection parameters. CMR-derived determination of landing zones facilitated accurate C-arm angulation for optimal device positioning.

Indexed as

angulation predictioncardiac magnetic resonance imaginglanding zone dimensionsleft atrial appendage closurepreprocedural planning

Identifiers

PMID37424915
PMCPMC10326314
OpenAlexW4381996125

What OpenQuestion holds

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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.