ArticleJTCVS structural and endovascular2024
Left atrial appendage exclusion during open cardiac surgery in patients without atrial fibrillation reduces 4-year ischemic stroke and mortality.
Article in JTCVS structural and endovascular, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- Surgical Left Atrial Appendage Occlusion During Cardiac Surgery in Atrial Fibrillation: A Contemporary Systematic Review and Meta-Analysis.Journal of the Society for Cardiovascular Angiography & Interventions · 2026Review
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: This study assessed the influence of surgical left atrial appendage exclusion (LAAE) during cardiac surgery in patients with no preoperative history of atrial fibrillation (AF). Methods: Real World Data Insights, an all-payers' claims database, with approximately 90% Medicare patients was utilized. Patients with no preoperative history of AF (older than age 65 years) undergoing open coronary artery bypass or valve procedures with/without concomitant surgical LAAE with an epicardial clip between 2015 and 2020 and a minimum of 2-year follow-up were included. Inverse probability treatment weighting and logistic regression were used. Results: Open coronary artery bypass represented 48.8% (n = 29,954) and valve 51.2% (n = 31,466) of procedures after adjustment. Thirty-day postoperative AF was present in 12.2% patients (n = 175) for LAAE and 5.8% (n = 3485) for no-LAAE ( Conclusions: LAAE during open cardiac surgery in patients without AF was safe, associated with higher postoperative AF, and lower ischemic stroke and all-cause mortality. Randomized controlled studies are ongoing in a similar population.
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