Evidence map›Paper›PMID 38789491›Full record

Observational studyScientific reports2024

Real-world experience utilizing the nuvision 4D intracardiac echocardiography catheter for left atrial appendage closure.

Alex Adams, Riaz Mahmood, Nivedha Balaji, Priyadarshini Dixit, Shalabh Chandra, David Weisman

Erratum issuedAbstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Alex AdamsGraduate Medical Education, Cardiovascular Disease Fellowship, Northeast Georgia Medical Center, 743 Spring Street NE, Suite 710, 30501, Gainesville, GA, Georgia. alex.adams2@nghs.com.
Riaz MahmoodGraduate Medical Education, Internal Medicine Residency, Northeast Georgia Medical Center, Gainesville, GA, Georgia.
Nivedha BalajiGraduate Medical Education, Internal Medicine Residency, Northeast Georgia Medical Center, Gainesville, GA, Georgia.
Priyadarshini DixitGraduate Medical Education, Cardiovascular Disease Fellowship, Northeast Georgia Medical Center, 743 Spring Street NE, Suite 710, 30501, Gainesville, GA, Georgia.
Shalabh ChandraGeorgia Heart Institute, Northeast Georgia Health System, Gainesville, Georgia.
David WeismanGeorgia Heart Institute, Northeast Georgia Health System, Gainesville, Georgia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transesophageal echocardiography (TEE) has been the preferred imaging modality to help guide left atrial appendage closure. Newer technologies such as the Nuvision 4D Intracardiac echocardiography (ICE) catheter allow for real-time 3D imaging of cardiac anatomy. There are no direct comparison studies for procedural imaging between TEE and 4D ICE. To evaluate the performance and safety of left atrial appendage (LAA) closure procedures with the Watchman FLX and Amulet, guided by the Nuvision 4D ICE Catheter. This retrospective observational analysis was conducted on institutional LAAO National Cardiovascular Data Registry from January 2022 to March 2023. Patients had undergone LAA closure procedures with the Watchman FLX or Amulet device guided by TEE or a 4D ICE Catheter. The primary outcome evaluated was successful LAAO device placement. A total of 121 patients underwent LAAO device placement with 46 (38.0%) patients guided by 4D ICE during LAAO implantation. The 4D ICE group had a shorter procedural time compared with TEE guidance. Post procedural 45-day TEE post implant was also comparable for both groups with no patients in either group having incomplete closure of the left atrial appendage and peri-device leak > 5 mm. No device related complications (device related access, stroke, or pericardial effusion) occurred in either group at follow-up. There was no significant difference in device implant success or post procedural outcomes at 45 days in either the TEE or 4D ICE group. However, there was a noticeable improvement in procedural time with the 4D ICE catheter.

Indexed as

Atrial AppendageAtrial FibrillationEchocardiography, TransesophagealAgedAged, 80 and overCardiac CatheterizationCardiac CathetersEchocardiographyEchocardiography, Three-DimensionalFemaleHumansLeft Atrial Appendage ClosureMaleMiddle AgedRetrospective StudiesTreatment OutcomeAtrial fibrillationIntracardiac echocardiographyLeft atrial appendage occlusionStroke prevention

Identifiers

PMID38789491
PMCPMC11126603

What OpenQuestion holds

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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.