Evidence map›Paper›PMID 41040442›Full record

ArticleJournal of the Society for Cardiovascular Angiography & Interventions2025

2025 SCAI/HRS Clinical Practice Guidelines on Transcatheter Left Atrial Appendage Occlusion.

Andrew M Goldsweig, Michael Glikson, Jacqueline Joza, Clifford J Kavinsky, Omar Khalique, Dhanunjaya Lakkireddy, G Burkhard Mackensen, Gerald V Naccarelli, Devi G Nair, Jacqueline Saw and 10 more

Erratum issuedAbstract read
In one paragraph

Article in Journal of the Society for Cardiovascular Angiography & Interventions, 2025. 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 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Left Atrial Appendage Occlusion Device-Associated Infective Endocarditis: Analysis of the FDA-MAUDE Database.Journal of the Society for Cardiovascular Angiography & Interventions · 2026
    Article
  7. Article
  8. Review
  9. Review
  10. Coming of Age: Facing Growing Pains in Structural Heart Interventions With Innovative Imaging Solutions.Journal of the Society for Cardiovascular Angiography & Interventions · 2025
    Article
  11. Left Atrial Appendage Occlusion: Persistent Gaps.Journal of the Society for Cardiovascular Angiography & Interventions · 2025
    Article
  12. Left Atrial Appendage Occlusion in Cancer-Associated Atrial Fibrillation: Who, When, and How to Manage Antithrombotic Therapy.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Andrew M GoldsweigDepartment of Cardiovascular Medicine, Baystate Medical Center and Division of Cardiovascular Medicine, University of Massachusetts-Baystate, Springfield, Massachusetts.
Michael GliksonJesselson Integrated Heart Center, Shaare Zedek Medical Center and Hebrew University Faculty of Medicine, Jerusalem, Israel.
Jacqueline JozaDivision of Cardiology, McGill University, Montreal, Québec, Canada.
Clifford J KavinskyBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
Omar KhaliqueDivision of Cardiovascular Imaging, St. Francis Hospital and Heart Center, Roslyn, New York.
Dhanunjaya LakkireddyKansas City Heart Rhythm Institute and Research Foundation, Overland Park, Kansas.
G Burkhard MackensenDivision of Cardiothoracic Anesthesiology, Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington.
Gerald V NaccarelliHeart and Vascular Institute, Penn State University College of Medicine, Hershey, Pennsylvania.
Devi G NairSt. Bernard's Heart and Vascular Center, Jonesboro, Arkansas.
Jacqueline SawDivision of Cardiology, Vancouver General Hospital, University of British Columbia, Vancouver, Canada.
Rahul Prakash SharmaStanford University Medical Center, Palo Alto, California.
Matthew SherwoodDivision of Cardiology, Inova Heart and Vascular Institute, Fairfax, Virginia.
Molly SzerlipBaylor Scott & White the Heart Hospital - Plano, Plano, Texas.
Yngve Falck-YtterCase Western Reserve University, Cleveland, Ohio.
Rebecca L MorganCase Western Reserve University, Cleveland, Ohio.
Chelsea ArmahSociety for Cardiovascular Angiography & Interventions, Washington, District of Columbia.
Scott FirestoneSociety for Cardiovascular Angiography & Interventions, Washington, District of Columbia.
Angela FixHeart Rhythm Society, Washington, District of Columbia.
Emily SenerthEvidence Foundation, Cleveland, Ohio.
Christopher R EllisDivision of Cardiovascular Medicine at Vanderbilt University Medical Center, Nashville, Tennessee.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Left atrial appendage occlusion (LAAO) devices reduce the risk of atrial fibrillation-associated stroke relative to no oral anticoagulation. However, uncertainty and practice variation persist in the areas of patient selection, periprocedural imaging, adjunctive antithrombotic therapy, and management of peridevice leak (PDL) and device-related thrombus. The Society for Cardiovascular Angiography & Interventions and Heart Rhythm Society developed these evidence-based guidelines to support clinicians, patients, and other stakeholders in management decisions regarding LAAO. Methods: The Society for Cardiovascular Angiography & Interventions and Heart Rhythm Society convened a balanced, multidisciplinary guideline panel with <50% of members reporting significant conflicts of interest with the industry. Evidence Foundation, a registered 501(c)(3) nonprofit organization, provided methodological support for guideline development. The guideline panel formulated and prioritized clinical questions following the Grading of Recommendations Assessment, Development, and Evaluation approach in a population, intervention, comparison, outcome format. A technical review team of clinical and methodological experts conducted systematic reviews of the published evidence, synthesized data, and graded the certainty of evidence across outcomes. The guideline panel then developed recommendations and supporting statements informed by the technical review and using the Grading of Recommendations Assessment, Development, and Evaluation evidence-to-decision framework. Results: The guideline panel developed 8 evidence-based recommendations to address variations in care related to LAAO. The panel also identified 2 knowledge gaps. Conclusions: Key recommendations address patient selection for LAAO, periprocedural imaging, adjunctive antithrombotic therapy, and management of PDL and device-related thrombus. The panel also recommended necessary future research regarding the use of single antiplatelet therapy following LAAO and regarding the management of PDL.

Indexed as

anticoagulationantiplatelet therapyatrial fibrillationleft atrial appendage occlusionprocedural imagingstroke

Identifiers

PMID41040442
PMCPMC12485513

What OpenQuestion holds

Textmetadata
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.