Evidence map›Paper›PMID 41532920›Full record

ArticleJACC. Case reports2026

Percutaneous Debulking of Left Atrial Appendage Occlusion Device-Associated Thrombi and Vegetation.

Leonard Palatnic, Christopher Manion, David M Zlotnick

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

3 authors.

Leonard PalatnicDepartment of Medicine, University at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA. Electronic address: lpalatnic85@gmail.com.
Christopher ManionDepartment of Medicine, University at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA.
David M ZlotnickDepartment of Medicine, University at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe incidence of prosthetic device endocarditis has increased with the emergence of percutaneous modalities used for the treatment of structural heart disease. The AngioVac mechanical aspiration system has been used to percutaneously debulk native valve, prosthetic valve, and prosthetic device-associated thrombi as well as vegetations in the setting of endocarditis. However, there are limited descriptions of its use in left-sided prosthetic device-associated infected thrombi and vegetation. CASE SUMMARY: We describe 2 patients who underwent successful percutaneous debulking of left atrial appendage occlusion device-associated thrombi and vegetation in the setting of refractory infective endocarditis with the AngioVac mechanical aspiration system. DISCUSSION: Minimally invasive thrombectomy/debulking with the AngioVac system appears to be a safe and effective alternative to cardiac surgery for the management of high-risk patients with left-sided intracardiac thrombi. TAKE-HOME MESSAGES: Patients with left atrial appendage occlusion device implantation may be at risk for device-associated thrombus in the setting of infective endocarditis. Percutaneous thrombectomy with the AngioVac mechanical aspiration system may be a safe and effective alternative to cardiac surgery for the management of high-risk patients with left-sided intracardiac thrombi.

Indexed as

AngioVac mechanical aspiration systemdebulkinginfective endocarditisleft atrial appendage occlusionWatchman Flx

Identifiers

PMID41532920
PMCPMC13002503

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.