Evidence map›Paper›PMID 41868775›Full record

ReviewJournal of the Society for Cardiovascular Angiography & Interventions2026

Transseptal Puncture for Left Atrial Appendage Closure: A Consensus Document From the Second European Left Atrial Appendage Club.

Liesbeth Rosseel, Nina C Wunderlich, Sergio Berti, Adel Aminian, Jens Erik Nielsen-Kudsk, Ignacio Cruz-Gonzalez, Lorenz Räber, Luis Nombela-Franco, Mony Shuvy, Xavier Freixa and 2 more

Abstract readReview
In one paragraph

Review in Journal of the Society for Cardiovascular Angiography & Interventions, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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. Review
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

12 authors.

Liesbeth RosseelHartcentrum Aalst, AZORG, Aalst, Belgium.
Nina C WunderlichDepartment of Cardiology and Angiology, Asklepios Klinik Langen, Langen, Germany.
Sergio BertiOspedale del Cuore, Fondazione C.N.R. Regione Toscana G. Monasterio, Pisa, Italy.
Adel AminianDivision of Cardiologie, Centre Hospitalier Universitaire de Charleroi, Charleroi, Belgium.
Jens Erik Nielsen-KudskDepartment of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
Ignacio Cruz-GonzalezHospital Universitario de Salamanca, IBSAL, CIBER-CV, Salamanca, Spain.
Lorenz RäberDepartment of Cardiology, Bern University Hospital, Inselspital, University of Bern, Bern, Switzerland.
Luis Nombela-FrancoCardiovascular Institute, Hospital Clinico San Carlos, IdISSC, Madrid, Spain.
Mony ShuvyJesselson Integrated Heart Centre, Shaare Zedek Medical Center and Faculty of Medicine, Hebrew University, Jerusalem, Israel.
Xavier FreixaCardiovascular Institute, Hospital Clinic, Barcelona, Spain.
Philippe GarotInstitut Cardiovasculaire Paris Sud (ICPS), Hôpital Privé Jacques Cartier, Ramsay-Santé, Massy, France.
Ole De BackerThe Heart Centre, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transseptal puncture (TSP) is a critical step in left atrial appendage closure. This consensus document reviews the evolution of TSP techniques and instrumentation, comparing conventional mechanical methods with radiofrequency-assisted approaches. It highlights the importance of imaging-based preplanning with transoesophageal echocardiography and multislice computed tomography to optimize TSP positioning and procedural outcomes. The inferoposterior fossa ovalis position is generally preferred to achieve coaxial device alignment and enhance safety and efficacy, whereas alternative TSP positions may suit better specific complex anatomies. Procedural guidance under transoesophageal echocardiography and intracardiac echocardiography-guidedosto TSP is illustrated, and a stepwise strategy for challenging cases is outlined. We propose an algorithm for TSP preplanning and intraprocedural guidance, along with expert consensus recommendations developed during the second European Left Atrial Appendage Club meeting.

Indexed as

left atrial appendage closurepreplanningtransseptal puncture

Identifiers

PMID41868775
PMCPMC13005387

What OpenQuestion holds

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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.