{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T00:42:18Z","timestamp":1793752938305,"version":"4.6.1"},"reference-count":37,"publisher":"Elsevier BV","issue":"15","license":[{"start":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T00:00:00Z","timestamp":1690848000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T00:00:00Z","timestamp":1690848000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T00:00:00Z","timestamp":1723593600000},"content-version":"vor","delay-in-days":379,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"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: Cardiovascular Interventions"],"published-print":{"date-parts":[[2023,8]]},"DOI":"10.1016\/j.jcin.2023.06.007","type":"journal-article","created":{"date-parts":[[2023,8,14]],"date-time":"2023-08-14T13:58:02Z","timestamp":1692021482000},"page":"1889-1898","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":30,"title":["Left Atrial Appendage Occlusion Under Miniaturized Transesophageal Echocardiographic Guidance and Conscious Sedation"],"prefix":"10.1016","volume":"16","author":[{"given":"Adel","family":"Aminian","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"Leduc","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xavier","family":"Freixa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin J.","family":"Swaans","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Ben Yedder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moniek","family":"Maarse","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2516-8953","authenticated-orcid":false,"given":"Laura","family":"Sanchis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro","family":"Cepas-Guillen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ignacio","family":"Cruz-Gonz\u00e1lez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabian","family":"Blanco-Fernandez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3183-7084","authenticated-orcid":false,"given":"Romain","family":"Eschalier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas V.A.","family":"Boersma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jcin.2023.06.007_bib1","doi-asserted-by":"crossref","first-page":"1170","DOI":"10.4244\/EIJY15M01_06","article-title":"Left atrial appendage occlusion for stroke prevention in atrial fibrillation: multicentre experience with the AMPLATZER cardiac plug","volume":"11","author":"Tzikas","year":"2016","journal-title":"EuroIntervention"},{"key":"10.1016\/j.jcin.2023.06.007_bib2","doi-asserted-by":"crossref","first-page":"2894","DOI":"10.1093\/eurheartj\/ehaa169","article-title":"Left atrial appendage occlusion with the Amplatzer\u2122 Amulet\u2122 device: full results of the prospective global observational study","volume":"41","author":"Hildick-Smith","year":"2020","journal-title":"Eur Heart J"},{"key":"10.1016\/j.jcin.2023.06.007_bib3","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCEP.118.006841","article-title":"Evaluating real-world clinical outcomes in atrial fibrillation patients receiving the WATCHMAN left atrial appendage closure technology","volume":"12","author":"Boersma","year":"2019","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"10.1016\/j.jcin.2023.06.007_bib4","doi-asserted-by":"crossref","first-page":"2614","DOI":"10.1016\/j.jacc.2015.04.025","article-title":"Left atrial appendage closure as an alternative to warfarin for stroke prevention in atrial fibrillation: a patient-level meta-analysis","volume":"65","author":"Holmes","year":"2015","journal-title":"J\u00a0Am Coll Cardiol"},{"key":"10.1016\/j.jcin.2023.06.007_bib5","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.jcin.2020.09.051","article-title":"Clinical outcomes associated with left atrial appendage occlusion versus direct oral anticoagulation in atrial fibrillation","volume":"14","author":"Nielsen-Kudsk","year":"2021","journal-title":"J\u00a0Am Coll Cardiol Intv"},{"key":"10.1016\/j.jcin.2023.06.007_bib6","doi-asserted-by":"crossref","first-page":"3122","DOI":"10.1016\/j.jacc.2020.04.067","article-title":"Left atrial appendage closure versus direct oral anticoagulants in high-risk patients with atrial fibrillation","volume":"75","author":"Osmancik","year":"2020","journal-title":"J\u00a0Am Coll Cardiol"},{"key":"10.1016\/j.jcin.2023.06.007_bib7","doi-asserted-by":"crossref","first-page":"2795","DOI":"10.1016\/j.jacc.2020.08.089","article-title":"Left atrial appendage closure versus oral anticoagulants in atrial fibrillation: a meta-analysis of randomized trials","volume":"76","author":"Turagam","year":"2020","journal-title":"J\u00a0Am Coll Cardiol"},{"key":"10.1016\/j.jcin.2023.06.007_bib8","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"},{"key":"10.1016\/j.jcin.2023.06.007_bib9","doi-asserted-by":"crossref","first-page":"1093","DOI":"10.1378\/chest.10-0134","article-title":"A\u00a0novel user friendly score (HASBLED) to assess 1-year risk of major bleeding in patients with atrial fibrillation: the Euro Heart Survey","volume":"138","author":"Pisters","year":"2010","journal-title":"Chest"},{"key":"10.1016\/j.jcin.2023.06.007_bib10","doi-asserted-by":"crossref","first-page":"1036","DOI":"10.1016\/j.jcin.2014.04.014","article-title":"Periprocedural intracardiac echocardiography for left atrial appendage closure: a dual-center experience","volume":"7","author":"Berti","year":"2014","journal-title":"J\u00a0Am Coll Cardiol Intv"},{"key":"10.1016\/j.jcin.2023.06.007_bib11","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"},{"key":"10.1016\/j.jcin.2023.06.007_bib12","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"},{"key":"10.1016\/j.jcin.2023.06.007_bib13","doi-asserted-by":"crossref","first-page":"1571","DOI":"10.1007\/s10554-018-1374-5","article-title":"Feasibility of intracardiac echocardiography imaging from the left superior pulmonary vein for left atrial appendage occlusion","volume":"34","author":"Kim","year":"2018","journal-title":"Int J Cardiovasc Imaging"},{"key":"10.1016\/j.jcin.2023.06.007_bib14","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1016\/j.repc.2018.03.009","article-title":"Registry of left atrial appendage closure and initial experience with intracardiac echocardiography","volume":"37","author":"Reis","year":"2018","journal-title":"Rev Port Cardiol (Engl Ed)"},{"key":"10.1016\/j.jcin.2023.06.007_bib15","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"},{"key":"10.1016\/j.jcin.2023.06.007_bib16","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"},{"key":"10.1016\/j.jcin.2023.06.007_bib17","first-page":"393","article-title":"Outcomes of routine intracardiac echocardiography to guide left atrial appendage occlusion","volume":"6","author":"Alkhouli","year":"2020","journal-title":"J\u00a0Am Coll Cardiol EP"},{"key":"10.1016\/j.jcin.2023.06.007_bib18","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"},{"key":"10.1016\/j.jcin.2023.06.007_bib19","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1016\/j.jcin.2022.10.024","article-title":"Intracardiac echocardiography to guide WATCHMAN FLX implantation: the ICE LAA study","volume":"16","author":"Nielsen-Kudsk","year":"2023","journal-title":"J\u00a0Am Coll Cardiol Intv"},{"key":"10.1016\/j.jcin.2023.06.007_bib20","doi-asserted-by":"crossref","first-page":"1502","DOI":"10.1016\/j.jcmg.2021.09.015","article-title":"First experience with a novel live 3D ICE catheter to guide transcatheter structural heart interventions","volume":"15","author":"Alkhouli","year":"2022","journal-title":"J\u00a0Am Coll Cardiol Img"},{"key":"10.1016\/j.jcin.2023.06.007_bib21","doi-asserted-by":"crossref","first-page":"2407","DOI":"10.1016\/j.jcin.2021.07.024","article-title":"First-in-human use of a novel live 3D intracardiac echo probe to guide left atrial appendage closure","volume":"14","author":"Alkhouli","year":"2021","journal-title":"J\u00a0Am Coll Cardiol Intv"},{"key":"10.1016\/j.jcin.2023.06.007_bib22","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1007\/s12471-017-1036-6","article-title":"Feasibility of multiplane microtransoesophageal echocardiographic guidance in structural heart disease transcatheter interventions in adults","volume":"25","author":"Nijenhuis","year":"2017","journal-title":"Neth Heart J"},{"key":"10.1016\/j.jcin.2023.06.007_bib23","first-page":"511","article-title":"Minimally-invasive transesophageal echocardiography for left atrial appendage occlusion with a latest-generation microprobe. initial experience","volume":"72","author":"Jim\u00e9nez Bretez","year":"2019","journal-title":"Rev Esp Cardiol (Engl Ed)"},{"key":"10.1016\/j.jcin.2023.06.007_bib24","doi-asserted-by":"crossref","first-page":"1091","DOI":"10.1016\/j.jcin.2019.02.027","article-title":"Feasibility, safety, and utility of microtransesophageal echocardiography guidance for percutaneous LAAO under conscious sedation","volume":"12","author":"Barreiro-Perez","year":"2019","journal-title":"J\u00a0Am Coll Cardiol Intv"},{"key":"10.1016\/j.jcin.2023.06.007_bib25","doi-asserted-by":"crossref","first-page":"93","DOI":"10.4244\/EIJ-D-19-00943","article-title":"Transoesophageal echocardiography guidance with paediatric probes in adults undergoing left atrial appendage occlusion","volume":"17","author":"Maarse","year":"2021","journal-title":"EuroIntervention"},{"key":"10.1016\/j.jcin.2023.06.007_bib26","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/j.jacc.2010.09.024","article-title":"Comparative validation of a novel risk score for predicting bleeding risk in anticoagulated patients with atrial fibrillation","volume":"57","author":"Lip","year":"2011","journal-title":"J\u00a0Am Coll Cardiol"},{"key":"10.1016\/j.jcin.2023.06.007_bib27","doi-asserted-by":"crossref","first-page":"103","DOI":"10.4244\/EIJV12I1A18","article-title":"Percutaneous left atrial appendage occlusion: the Munich consensus document on definitions, endpoints and data collection requirements for clinical studies","volume":"12","author":"Tzikas","year":"2016","journal-title":"EuroIntervention"},{"key":"10.1016\/j.jcin.2023.06.007_bib28","doi-asserted-by":"crossref","first-page":"2736","DOI":"10.1161\/CIRCULATIONAHA.110.009449","article-title":"Standardized bleeding definitions for cardiovascular clinical trials: a consensus report from the Bleeding Academic Research Consortium","volume":"123","author":"Mehran","year":"2011","journal-title":"Circulation"},{"key":"10.1016\/j.jcin.2023.06.007_bib29","first-page":"229","article-title":"Cardiac computed tomography for left atrial appendage occlusion: acquisition, analysis, advantages, and limitations","volume":"7","author":"Korsholm","year":"2018","journal-title":"Interv Cardiol Clin"},{"key":"10.1016\/j.jcin.2023.06.007_bib30","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCINTERVENTIONS.119.008112","article-title":"Detection of device-related thrombosis following left atrial appendage occlusion: a comparison between cardiac computed tomography and transesophageal echocardiography","volume":"12","author":"Korsholm","year":"2019","journal-title":"Circ Cardiovasc Interv"},{"issue":"11","key":"10.1016\/j.jcin.2023.06.007_bib31","doi-asserted-by":"crossref","first-page":"1003","DOI":"10.1016\/j.jcin.2019.02.003","article-title":"Incidence, characterization, and clinical impact of device-related thrombus following left atrial appendage occlusion in the prospective global AMPLATZER Amulet observational study","volume":"12","author":"Aminian","year":"2019","journal-title":"J\u00a0Am Coll Cardiol Intv"},{"key":"10.1016\/j.jcin.2023.06.007_bib32","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1007\/s10840-019-00699-5","article-title":"Left atrial appendage occlusion with the Amplatzer Amulet: update on device sizing","volume":"59","author":"Freixa","year":"2020","journal-title":"J\u00a0Interv Cardiac Electrophysiol"},{"key":"10.1016\/j.jcin.2023.06.007_bib33","doi-asserted-by":"crossref","DOI":"10.1136\/openhrt-2017-000627","article-title":"A\u00a0comparative study of different imaging modalities for successful percutaneous left atrial appendage closure","volume":"4","author":"Chow","year":"2017","journal-title":"Open Heart"},{"key":"10.1016\/j.jcin.2023.06.007_bib34","doi-asserted-by":"crossref","first-page":"2083","DOI":"10.4244\/EIJ-D-15-00543","article-title":"A\u00a0comparison of two-dimensional and real-time 3D transoesophageal echocardiography and angiography for assessing the left atrial appendage anatomy for sizing a left atrial appendage occlusion system: impact of volume loading","volume":"12","author":"Al-Kassou","year":"2017","journal-title":"EuroIntervention"},{"key":"10.1016\/j.jcin.2023.06.007_bib35","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1111\/jce.12909","article-title":"Comparing measurements of CT angiography, TEE, and fluoroscopy of the left atrial appendage for percutaneous closure","volume":"27","author":"Saw","year":"2016","journal-title":"J\u00a0Cardiovasc Electrophysiol"},{"issue":"14","key":"10.1016\/j.jcin.2023.06.007_bib36","doi-asserted-by":"crossref","first-page":"1528","DOI":"10.1016\/j.jacc.2018.01.076","article-title":"Device-related thrombosis after percutaneous left atrial appendage occlusion for atrial fibrillation","volume":"71","author":"Fauchier","year":"2018","journal-title":"J\u00a0Am Coll Cardiol"},{"key":"10.1016\/j.jcin.2023.06.007_bib37","doi-asserted-by":"crossref","first-page":"1460","DOI":"10.4244\/EIJ-D-22-00921","article-title":"First experience of left atrial appendage occlusion using a 3D mini transoesophageal echocardiographic probe with conscious sedation","volume":"18","author":"Sanchis","year":"2023","journal-title":"EuroIntervention"}],"container-title":["JACC: Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1936879823009779?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1936879823009779?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T18:18:31Z","timestamp":1761848311000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1936879823009779"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8]]},"references-count":37,"journal-issue":{"issue":"15","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["S1936879823009779"],"URL":"https:\/\/doi.org\/10.1016\/j.jcin.2023.06.007","relation":{},"ISSN":["1936-8798"],"issn-type":[{"value":"1936-8798","type":"print"}],"subject":[],"published":{"date-parts":[[2023,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Left Atrial Appendage Occlusion Under Miniaturized Transesophageal Echocardiographic Guidance and Conscious Sedation","name":"articletitle","label":"Article Title"},{"value":"JACC: Cardiovascular Interventions","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jcin.2023.06.007","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"}]}}