Evidence map›Paper›PMID 37959194›Full record

ArticleJournal of clinical medicine2023

Effectiveness and Safety of an Outpatient Program for Percutaneous Left Atrial Appendage Occlusion.

Fabián Blanco-Fernández, Pablo J Antúnez-Muiños, Jean C Núñez-García, Sergio López-Tejero, Gilles J Barreira-de Sousa, Mónica García-Monsalvo, Milena Antúnez-Ballesteros, Andrew Maree, David González-Calle, Javier Rodríguez-Collado and 5 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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

15 authors.

Fabián Blanco-FernándezDepartment of Cardiology, Hospital Universitario de Salamanca, 37007 Salamanca, Spain.ORCID 0000-0001-6320-0163
Pablo J Antúnez-MuiñosDepartment of Cardiology, Hospital Universitario de Salamanca, 37007 Salamanca, Spain.ORCID 0000-0003-0573-4321
Jean C Núñez-GarcíaHospital Universitario de Burgos, 09006 Burgos, Spain.ORCID 0000-0003-0061-3643
Sergio López-TejeroDepartment of Cardiology, Hospital Universitario de Salamanca, 37007 Salamanca, Spain.ORCID 0000-0002-6462-4061
Gilles J Barreira-de SousaDepartment of Cardiology, Hospital Universitario de Salamanca, 37007 Salamanca, Spain.
Mónica García-MonsalvoDepartment of Cardiology, Hospital Universitario de Salamanca, 37007 Salamanca, Spain.
Milena Antúnez-BallesterosDepartment of Cardiology, Hospital Universitario de Salamanca, 37007 Salamanca, Spain.
Andrew MareeSt. James's Hospital, D08 NHY1 Dublin, Ireland.
David González-CalleDepartment of Cardiology, Hospital Universitario de Salamanca, 37007 Salamanca, Spain.ORCID 0000-0001-9051-0124
Javier Rodríguez-ColladoDepartment of Cardiology, Hospital Universitario de Salamanca, 37007 Salamanca, Spain.
Manuel Barreiro-PérezHospital Álvaro Cunqueiro, 36213 Vigo, Spain.ORCID 0000-0001-7489-2935
Elena Díaz-PeláezDepartment of Cardiology, Hospital Universitario de Salamanca, 37007 Salamanca, Spain.
María C Pérez Del Villar-MoroDepartment of Cardiology, Hospital Universitario de Salamanca, 37007 Salamanca, Spain.
Pedro L Sánchez-FernándezDepartment of Cardiology, Hospital Universitario de Salamanca, 37007 Salamanca, Spain.ORCID 0000-0002-1402-0526
Ignacio Cruz-GonzálezDepartment of Cardiology, Hospital Universitario de Salamanca, 37007 Salamanca, Spain.ORCID 0000-0001-9742-6072

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeft atrial appendage occlusion (LAAO) is a safe and effective alternative to oral anticoagulation for thromboprophylaxis in patients with nonvalvular atrial fibrillation. Technological development in devices and imaging techniques, as well as accumulated experience, have increased procedural success rates and decreased complications. Same-day discharge protocols have been proposed in the field of structural heart disease, but this approach has not been studied in detail for the LAAO procedure.

aimThe aim of this study is to assess the safety and efficacy of an outpatient program for LAAO when compared to the conventional treatment approach.

methodsWe present a retrospective, non-randomized single-center study of 262 consecutive patients undergoing LAAO. Patients were divided into two groups, the first (

resultsThe overall success rate was 99.6%, with a periprocedural complication rate of 2.29%. With regards to the CP versus OP group, there were no differences between incidences of the primary composite endpoint (6.1% PC vs. 3.0% PA,

conclusionsA same-day discharge LAAO program is safe, effective, and feasible when compared to the conventional strategy. Moreover, it reduces hospital length of stay, which might have clinical and economic benefits.

Indexed as

atrial fibrillationinterventional cardiologyLAACLAAOleft atrial appendage occlusionoral anticoagulationstroke prevention

Identifiers

PMID37959194
PMCPMC10648316

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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.