Evidence map›Paper›PMID 41271382›Full record

ArticleJACC. Case reports2025

Late-Onset Pericardial Effusion and Device Extrusion After Left Atrial Appendage Occluder Implantation.

Omar Darwish, Sai Nikhila Ghanta, Sandeep Randhawa, Srikanth Vallurupalli, Tushar Tarun, Leah Brazil, John Streitman, Subodh Devabhaktuni

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Omar DarwishDepartment of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Sai Nikhila GhantaDivision of Cardiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Sandeep RandhawaDivision of Cardiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Srikanth VallurupalliDivision of Cardiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Tushar TarunDivision of Cardiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Leah BrazilDivision of Cardiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
John StreitmanDepartment of Cardiothoracic Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Subodh DevabhaktuniDivision of Cardiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. Electronic address: srdevabhaktuni@uams.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe present a case of Watchman device extrusion from left atrial appendage (LAA) free wall 6 months after implantation in a patient with longstanding persistent atrial fibrillation. CASE SUMMARY: A 74-year-old male with longstanding persistent atrial fibrillation of 15 years duration was implanted with a Watchman device as he cannot be on long-term oral anticoagulation due to a history of multiple falls. Six months post implantation, repeat transesophageal echocardiogram revealed a thrombus on the epicardial aspect of LAA and a large posterior pericardial effusion. The patient subsequently underwent surgical removal of both the LAA and the protruding Watchman device. DISCUSSION: In the case we present, the patient developed a clinically significant pericardial effusion 6 months after the Watchman device implantation, accompanied by left atrial extrusion, which was not reported to our knowledge. TAKE-HOME MESSAGE: Complications of Watchman devices respect no timeline boundaries and should be kept in mind when evaluating cardiac tamponade in patients with an implanted Watchman device.

Indexed as

atrial fibrillationpericardial effusionwatchman device complications

Identifiers

PMID41271382
PMCPMC12790191

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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.