Evidence map›Paper›PMID 41540437›Full record

ArticleJournal of cardiothoracic surgery2026

Exclusion of the left atrial appendage in Chinese population with perclip system: 1-year follow-up outcome results from a prospective, multi-center, open-label, single-arm device trial.

Haoyang Li, Jingyuan Huo, Hongfei Xu, Jingya Fan, Firyuza Husanova, Canbo Li, Xiao Tian, Heng Zhang, Xin Chen, Xiaofan Chen and 7 more

Erratum issuedAbstract readClinical StudyMulticenter Study
In one paragraph

Article in Journal of cardiothoracic surgery, 2026. 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 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. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Haoyang Li *Department of Cardiovascular Surgery, School of Medicine, The First Affiliated Hospital of Zhejiang University, 79 Qingchun Road, Hangzhou, 310003, Zhejiang, China.
Jingyuan Huo *Department of Cardiovascular Surgery, School of Medicine, The First Affiliated Hospital of Zhejiang University, 79 Qingchun Road, Hangzhou, 310003, Zhejiang, China.
Hongfei Xu *Department of Cardiovascular Surgery, School of Medicine, The First Affiliated Hospital of Zhejiang University, 79 Qingchun Road, Hangzhou, 310003, Zhejiang, China.
Jingya FanDepartment of Cardiovascular Surgery, School of Medicine, The First Affiliated Hospital of Zhejiang University, 79 Qingchun Road, Hangzhou, 310003, Zhejiang, China.
Firyuza HusanovaDepartment of Cardiovascular Surgery, School of Medicine, The First Affiliated Hospital of Zhejiang University, 79 Qingchun Road, Hangzhou, 310003, Zhejiang, China.
Canbo LiDepartment of Cardiovascular Surgery, School of Medicine, The First Affiliated Hospital of Zhejiang University, 79 Qingchun Road, Hangzhou, 310003, Zhejiang, China.
Xiao TianDepartment of Cardiovascular Surgery, School of Medicine, The First Affiliated Hospital of Zhejiang University, 79 Qingchun Road, Hangzhou, 310003, Zhejiang, China.
Heng ZhangDepartment of Cardiovascular Surgery, School of Medicine, The First Affiliated Hospital of Zhejiang University, 79 Qingchun Road, Hangzhou, 310003, Zhejiang, China.
Xin ChenDepartment of Cardiovascular Surgery, School of Medicine, The First Affiliated Hospital of Zhejiang University, 79 Qingchun Road, Hangzhou, 310003, Zhejiang, China.
Xiaofan ChenDepartment of Cardiovascular Surgery, School of Medicine, The First Affiliated Hospital of Zhejiang University, 79 Qingchun Road, Hangzhou, 310003, Zhejiang, China.
Yanjia GuDepartment of Cardiovascular Surgery, School of Medicine, The First Affiliated Hospital of Zhejiang University, 79 Qingchun Road, Hangzhou, 310003, Zhejiang, China.
Yun MouDepartment of Echocardiography and Vascular Ultrasound Center, School of Medicine, The First Affiliated Hospital of Zhejiang University, Hangzhou, China.
Jing LiDepartment of Echocardiography and Vascular Ultrasound Center, School of Medicine, The First Affiliated Hospital of Zhejiang University, Hangzhou, China.
Shuai YuanDepartment of Echocardiography and Vascular Ultrasound Center, School of Medicine, The First Affiliated Hospital of Zhejiang University, Hangzhou, China.
Liang MaDepartment of Cardiovascular Surgery, School of Medicine, The First Affiliated Hospital of Zhejiang University, 79 Qingchun Road, Hangzhou, 310003, Zhejiang, China.
Yiming NiDepartment of Cardiovascular Surgery, School of Medicine, The First Affiliated Hospital of Zhejiang University, 79 Qingchun Road, Hangzhou, 310003, Zhejiang, China.
Weidong LiDepartment of Cardiovascular Surgery, School of Medicine, The First Affiliated Hospital of Zhejiang University, 79 Qingchun Road, Hangzhou, 310003, Zhejiang, China. liweidong@zju.edu.cn.

Funding

National Natural Science Foundation of China 82200269National Natural Science Foundation of China 82271812Science and Technology Department of Zhejiang Province 2023C03087Science and Technology Department of Zhejiang Province 2024C03026
6 · The paper itself

Abstract

backgroundAtrial fibrillation (AF) significantly increases stroke risk, particularly through left atrial appendage (LAA) involvement. This trial evaluated the safety and efficacy of the Perclip system for LAA exclusion in Chinese AF patients.

methodsThis prospective study recruited patients with AF and CHA

resultsPerclip implantation was performed on 76 participants (concomitantly with open-heart surgery in 65 participants). The device was successfully implanted in all subjects. The complete LAA closure rate was 98.7% (75/76) at 30 days and 100% (75/75) at 3 months post-surgery. The incidence of device-related serious adverse events within 30 days after surgery was 1.3% (1/76). One participant, who underwent left atrial plication and LAA occlusion, developed an atrial thrombus. Additionally, there were no cases of cardiovascular death, cardiac structural damage, myocardial infarction, major bleeding, stroke, or non-central nervous system embolism within 12 months post-surgery.

conclusionsThis 1-year multicenter trial supports the efficacy and safety of the Perclip system for LAA exclusion in Chinese AF patients. Long-term follow-up will provide additional insights into the outcomes of the Perclip system.

trial registrationThis trial was retrospectively registered on the Chinese Clinical Trial Registry ( http://www.chictr.org.cn/ ) on January 31, 2024. REGISTRATION NUMBER: ChiCTR2400080521.

Indexed as

Atrial AppendageAtrial FibrillationLeft Atrial Appendage ClosureSeptal Occluder DeviceAgedChinaEast Asian PeopleFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesTreatment OutcomeAtrial fibrillationLeft atrial appendage closureSurgeryValvular heart diseases

Identifiers

PMID41540437
PMCPMC12888397

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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.