{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T00:42:19Z","timestamp":1793752939678,"version":"4.6.1"},"reference-count":26,"publisher":"Elsevier BV","issue":"12","license":[{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:00:00Z","timestamp":1733011200000},"content-version":"vor","delay-in-days":366,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"funder":[{"DOI":"10.13039\/100008497","name":"Boston Scientific Corporation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008497","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jacc.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["JACC: Clinical Electrophysiology"],"published-print":{"date-parts":[[2023,12]]},"DOI":"10.1016\/j.jacep.2023.08.004","type":"journal-article","created":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T13:58:11Z","timestamp":1697032691000},"page":"2587-2599","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":63,"title":["Intracardiac vs Transesophageal Echocardiography for Left Atrial Appendage Occlusion With Watchman\u00a0FLX in the U.S."],"prefix":"10.1016","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9190-6331","authenticated-orcid":false,"given":"Enrico G.","family":"Ferro","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamad","family":"Alkhouli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devi G.","family":"Nair","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samir R.","family":"Kapadia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan C.","family":"Hsu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas N.","family":"Gibson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James V.","family":"Freeman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew J.","family":"Price","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristine","family":"Roy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominic J.","family":"Allocco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert W.","family":"Yeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan P.","family":"Piccini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.jacep.2023.08.004_bib1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jacc.2021.10.023","article-title":"4-Year outcomes after left atrial appendage closure versus nonwarfarin oral anticoagulation for atrial fibrillation","volume":"79","author":"Osmancik","year":"2022","journal-title":"J\u00a0Am Coll Cardiol"},{"issue":"1","key":"10.1016\/j.jacep.2023.08.004_bib2","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1111\/jce.14804","article-title":"Contemporary procedural trends of Watchman percutaneous left atrial appendage occlusion in the United States","volume":"32","author":"Munir","year":"2021","journal-title":"J\u00a0Cardiovasc Electrophysiol"},{"issue":"13","key":"10.1016\/j.jacep.2023.08.004_bib3","doi-asserted-by":"crossref","first-page":"1503","DOI":"10.1016\/j.jacc.2019.12.040","article-title":"The NCDR Left Atrial Appendage Occlusion Registry","volume":"75","author":"Freeman","year":"2020","journal-title":"J\u00a0Am Coll Cardiol"},{"issue":"9689","key":"10.1016\/j.jacep.2023.08.004_bib4","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1016\/S0140-6736(09)61343-X","article-title":"Percutaneous closure of the left atrial appendage versus warfarin therapy for prevention of stroke in patients with atrial fibrillation: a randomised non-inferiority trial","volume":"374","author":"Holmes","year":"2009","journal-title":"Lancet"},{"issue":"1","key":"10.1016\/j.jacep.2023.08.004_bib5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jacc.2014.04.029","article-title":"Prospective randomized evaluation of the Watchman Left Atrial Appendage Closure device in patients with atrial fibrillation versus long-term warfarin therapy: the PREVAIL trial","volume":"64","author":"Holmes","year":"2014","journal-title":"J\u00a0Am Coll Cardiol"},{"issue":"19","key":"10.1016\/j.jacep.2023.08.004_bib6","doi-asserted-by":"crossref","first-page":"1543","DOI":"10.1161\/CIRCULATIONAHA.121.057063","article-title":"Amplatzer Amulet Left Atrial Appendage Occluder Versus Watchman Device for Stroke Prophylaxis (Amulet IDE): a randomized, controlled trial","volume":"144","author":"Lakkireddy","year":"2021","journal-title":"Circulation"},{"issue":"18","key":"10.1016\/j.jacep.2023.08.004_bib7","doi-asserted-by":"crossref","first-page":"1754","DOI":"10.1161\/CIRCULATIONAHA.120.050117","article-title":"Primary outcome evaluation of a next-generation left atrial appendage closure device: results from the PINNACLE FLX Trial","volume":"143","author":"Kar","year":"2021","journal-title":"Circulation"},{"issue":"1","key":"10.1016\/j.jacep.2023.08.004_bib8","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1007\/s10840-019-00677-x","article-title":"Evaluating the role of transesophageal echocardiography (TEE) or intracardiac echocardiography (ICE) in left atrial appendage occlusion: a meta-analysis","volume":"60","author":"Akella","year":"2021","journal-title":"J\u00a0Interv Card Electrophysiol"},{"issue":"25","key":"10.1016\/j.jacep.2023.08.004_bib9","doi-asserted-by":"crossref","first-page":"3164","DOI":"10.1016\/j.jacc.2020.04.069","article-title":"Safety of transesophageal echocardiography to guide structural cardiac interventions","volume":"75","author":"Freitas-Ferraz","year":"2020","journal-title":"J\u00a0Am Coll Cardiol"},{"issue":"2","key":"10.1016\/j.jacep.2023.08.004_bib10","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1016\/j.hrthm.2020.09.021","article-title":"Left atrial appendage occlusion using intracardiac echocardiography","volume":"18","author":"Patel","year":"2021","journal-title":"Heart Rhythm"},{"issue":"3","key":"10.1016\/j.jacep.2023.08.004_bib11","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1016\/j.hrthm.2018.12.013","article-title":"Left atrial appendage closure with the Watchman device using intracardiac vs transesophageal echocardiography: procedural and cost considerations","volume":"16","author":"Hemam","year":"2019","journal-title":"Heart Rhythm"},{"issue":"7","key":"10.1016\/j.jacep.2023.08.004_bib12","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCINTERVENTIONS.121.010686","article-title":"Transcatheter left atrial appendage closure using preprocedural computed tomography and intraprocedural 4-dimensional intracardiac echocardiography","volume":"14","author":"Ranard","year":"2021","journal-title":"Circ Cardiovasc Interv"},{"issue":"2","key":"10.1016\/j.jacep.2023.08.004_bib13","first-page":"331","article-title":"Intracardiac versus transesophageal echocardiography for left atrial appendage occlusion with watchman","volume":"90","author":"Frangieh","year":"2017","journal-title":"Catheter Cardiovasc Interv"},{"issue":"21","key":"10.1016\/j.jacep.2023.08.004_bib14","doi-asserted-by":"crossref","first-page":"2198","DOI":"10.1016\/j.jcin.2017.06.057","article-title":"Intracardiac echocardiography from the left atrium for procedural guidance of transcatheter left atrial appendage occlusion","volume":"10","author":"Korsholm","year":"2017","journal-title":"J\u00a0Am Coll Cardiol Intv"},{"issue":"13","key":"10.1016\/j.jacep.2023.08.004_bib15","first-page":"1633","article-title":"The Watchman FLX device: first European experience and feasibility of intracardiac echocardiography to guide implantation","volume":"6","author":"Korsholm","year":"2020","journal-title":"J\u00a0Am Coll Cardiol EP"},{"issue":"11","key":"10.1016\/j.jacep.2023.08.004_bib16","doi-asserted-by":"crossref","first-page":"1086","DOI":"10.1016\/j.jcin.2018.05.008","article-title":"Intracardiac versus transesophageal echocardiographic guidance for left atrial appendage occlusion: the LAAO Italian Multicenter Registry","volume":"11","author":"Berti","year":"2018","journal-title":"J\u00a0Am Coll Cardiol Intv"},{"issue":"11","key":"10.1016\/j.jacep.2023.08.004_bib17","doi-asserted-by":"crossref","first-page":"1030","DOI":"10.1016\/j.jcin.2019.04.035","article-title":"Use of intracardiac compared with transesophageal echocardiography for left atrial appendage occlusion in the Amulet Observational Study","volume":"12","author":"Nielsen-Kudsk","year":"2019","journal-title":"J\u00a0Am Coll Cardiol Intv"},{"issue":"5","key":"10.1016\/j.jacep.2023.08.004_bib18","first-page":"1572","article-title":"In-hospital outcomes of transesophageal versus intracardiac echocardiography guided left atrial appendage closure","volume":"99","author":"Morcos","year":"2022","journal-title":"Catheter Cardiovasc Interv"},{"issue":"7","key":"10.1016\/j.jacep.2023.08.004_bib19","doi-asserted-by":"crossref","first-page":"1330","DOI":"10.1111\/echo.14415","article-title":"Comparison of intracardiac and transoesophageal echocardiography for guidance of percutaneous left atrial appendage occlusion: a meta-analysis","volume":"36","author":"Ribeiro","year":"2019","journal-title":"Echocardiography"},{"issue":"17","key":"10.1016\/j.jacep.2023.08.004_bib20","doi-asserted-by":"crossref","first-page":"1704","DOI":"10.1016\/j.jacc.2022.02.034","article-title":"The National Cardiovascular Data Registry Data Quality Program 2020: JACC State-of-the-Art Review","volume":"79","author":"Malenka","year":"2022","journal-title":"J\u00a0Am Coll Cardiol"},{"key":"10.1016\/j.jacep.2023.08.004_bib21","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/j.ahj.2022.08.006","article-title":"Development and validation of an automated algorithm for end point adjudication for a large U.S. national registry","volume":"254","author":"Friedman","year":"2022","journal-title":"Am Heart J"},{"issue":"6","key":"10.1016\/j.jacep.2023.08.004_bib22","first-page":"766","article-title":"Clinical impact of residual leaks following left atrial appendage occlusion: insights from the NCDR LAAO Registry","volume":"8","author":"Alkhouli","year":"2022","journal-title":"J\u00a0Am Coll Cardiol EP"},{"issue":"3","key":"10.1016\/j.jacep.2023.08.004_bib23","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1111\/joic.12382","article-title":"Intracardiac versus transesophageal echocardiography to guide transcatheter closure of interatrial communications: nationwide trend and comparative analysis","volume":"30","author":"Alqahtani","year":"2017","journal-title":"J\u00a0Interv Cardiol"},{"issue":"13","key":"10.1016\/j.jacep.2023.08.004_bib24","first-page":"1643","article-title":"Intracardiac echocardiography: \"the ICEing on the cake\" for a novel LAA occlusion approach?","volume":"6","author":"Meyer","year":"2020","journal-title":"J\u00a0Am Coll Cardiol EP"},{"issue":"5","key":"10.1016\/j.jacep.2023.08.004_bib25","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCINTERVENTIONS.121.011718","article-title":"Periprocedural pericardial effusion complicating transcatheter left atrial appendage occlusion: a report from the NCDR LAAO Registry","volume":"15","author":"Price","year":"2022","journal-title":"Circ Cardiovasc Interv"},{"issue":"4","key":"10.1016\/j.jacep.2023.08.004_bib26","first-page":"815","article-title":"Intracardiac echocardiography for guidance of transcatheter left atrial appendage occlusion: An expert consensus document","volume":"98","author":"Berti","year":"2021","journal-title":"Catheter Cardiovasc Interv"}],"container-title":["JACC: Clinical Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2405500X23006175?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2405500X23006175?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T07:32:54Z","timestamp":1762500774000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2405500X23006175"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12]]},"references-count":26,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["S2405500X23006175"],"URL":"https:\/\/doi.org\/10.1016\/j.jacep.2023.08.004","relation":{},"ISSN":["2405-500X"],"issn-type":[{"value":"2405-500X","type":"print"}],"subject":[],"published":{"date-parts":[[2023,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Intracardiac vs Transesophageal Echocardiography for Left Atrial Appendage Occlusion With Watchman\u00a0FLX in the U.S.","name":"articletitle","label":"Article Title"},{"value":"JACC: Clinical Electrophysiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jacep.2023.08.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 by the American College of Cardiology Foundation. Published by Elsevier.","name":"copyright","label":"Copyright"}]}}