Evidence map›Paper›PMID 40017832›Full record

ReviewStructural heart : the journal of the Heart Team2025

Left Atrial Appendage Occlusion: Expanding Indications and New Developments.

Grant W Reed, Shady Nakhla, Rhonda Miyasaka, Serge Harb, Mohamed Kanj, Ousamma Wazni, Samir R Kapadia, Amar Krishnaswamy

Abstract readReview
In one paragraph

Review in Structural heart : the journal of the Heart Team, 2025. 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. Review
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

8 authors.

Grant W ReedDepartment of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.
Shady NakhlaDepartment of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.
Rhonda MiyasakaDepartment of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.
Serge HarbDepartment of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.
Mohamed KanjDepartment of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.
Ousamma WazniDepartment of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.
Samir R KapadiaDepartment of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.
Amar KrishnaswamyDepartment of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Percutaneous left atrial appendage occlusion (LAAO) is recommended in several major international society guidelines as a viable alternative to therapeutic anticoagulation for the prevention of ischemic stroke in patients with nonvalvular atrial fibrillation or flutter. Recent innovations in device development have improved the safety and procedural success of LAAO, further fueling enthusiasm for expanding its indications beyond patients with high-bleeding risk from oral anticoagulation use. It is the aim of this review to provide historical context in addition to recent updates and upcoming developments and provide practical suggestions on how best to care for patients who are candidates for LAAO in contemporary practice. Recent data comparing the safety and efficacy of post-LAAO antiplatelet vs. antithrombotic therapy will be highlighted, with specific recommendations regarding which patients are best suited for each strategy. We will also address the safety and practical considerations provided by emerging trials on concomitant LAAO during other structural heart interventions such as transcatheter aortic valve replacement and mitral valve interventions, as well as electrophysiology procedures including catheter ablation for atrial fibrillation and pacemaker implantation. Practical considerations for the use of transesophageal echocardiography or intracardiac echocardiography for procedural guidance will also be discussed. As the evidence supporting LAAO continues to evolve, this review will serve as a primer on the recent and upcoming advances in device technology and management strategies positioned to further push LAAO forward into the future.

Indexed as

AnticoagulationAtrial fibrillationLeft atrial appendage occlusion

Identifiers

PMID40017832
PMCPMC11864148

What OpenQuestion holds

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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.