Evidence map›Paper›PMID 41563226›Full record

ArticleJACC. Case reports2026

Transhepatic Access for Left Atrial Appendage Closure in a Patient With Inferior Vena Cava Interruption.

Pablo D Liva, Guillermo Eisele, Marcelo A Agüero, Esteban Villegas, Gastón Pozzi, Pedro Zambrano-Rodas, Gabriela Ríos, Adolfo G López-Campanher, Matías J Arévalo, Jorge A Baccaro

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. 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

10 authors.

Pablo D LivaDepartment of Interventional Cardiology, Instituto de Cardiología de Corrientes "Juana Francisca Cabral", Corrientes, Argentina. Electronic address: pablodliva@yahoo.com.
Guillermo EiseleDepartment of Interventional Radiology, Children's Hospital "Ricardo Gutierrez", Buenos Aires, Argentina.
Marcelo A AgüeroDepartment of Interventional Cardiology, Instituto de Cardiología de Corrientes "Juana Francisca Cabral", Corrientes, Argentina.
Esteban VillegasDepartment of Interventional Cardiology, Instituto de Cardiología de Corrientes "Juana Francisca Cabral", Corrientes, Argentina.
Gastón PozziDepartment of Interventional Cardiology, Instituto de Cardiología de Corrientes "Juana Francisca Cabral", Corrientes, Argentina.
Pedro Zambrano-RodasDepartment of Interventional Cardiology, Instituto de Cardiología de Corrientes "Juana Francisca Cabral", Corrientes, Argentina.
Gabriela RíosDepartment of Interventional Cardiology, Instituto de Cardiología de Corrientes "Juana Francisca Cabral", Corrientes, Argentina.
Adolfo G López-CampanherDepartment of Interventional Cardiology, Instituto de Cardiología de Corrientes "Juana Francisca Cabral", Corrientes, Argentina.
Matías J ArévaloDepartment of Interventional Cardiology, Instituto de Cardiología de Corrientes "Juana Francisca Cabral", Corrientes, Argentina.
Jorge A BaccaroDepartment of Interventional Cardiology, Instituto de Cardiología de Corrientes "Juana Francisca Cabral", Corrientes, Argentina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeft atrial appendage occlusion (LAAO) is an alternative stroke-prevention strategy in patients with nonvalvular atrial fibrillation who have contraindications to oral anticoagulation. Femoral venous access is the standard approach. CASE SUMMARY: We report a 78-year-old woman with nonvalvular atrial fibrillation, high bleeding risk due to recurrent falls, and prior traumatic subdural hematoma, referred for LAAO. The initial procedure attempt was aborted after intraprocedural discovery of congenital inferior vena cava interruption, precluding femoral access. In a second stage, the procedure was successfully completed via transhepatic venous access without complications. DISCUSSION: This case highlights the feasibility of transhepatic access for structural heart interventions in patients with complex venous anatomy. TAKE-HOME MESSAGES: Transhepatic access is a safe alternative for LAAO in patients with inferior vena cava interruption. Preprocedural imaging and flexible access strategies are essential in structural interventions for patients with complex venous anatomy.

Indexed as

atrial fibrillationinferior vena cava interruptionleft atrial appendage occlusionpercutaneous closurestructural heart interventiontranshepatic access

Identifiers

PMID41563226
PMCPMC12948612

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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.