{"id":"https://openalex.org/W7213429098","doi":"https://doi.org/10.1016/j.jaccas.2026.109523","title":"Early Evaluation of Left Atrial Appendage With Cardiac Computed Tomography to Reduce Health Care Utilization","display_name":"Early Evaluation of Left Atrial Appendage With Cardiac Computed Tomography to Reduce Health Care Utilization","publication_year":2026,"publication_date":"2026-09-01","ids":{"openalex":"https://openalex.org/W7213429098","doi":"https://doi.org/10.1016/j.jaccas.2026.109523","pmid":"https://pubmed.ncbi.nlm.nih.gov/42752006","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13728401"},"language":"en","primary_location":{"id":"doi:10.1016/j.jaccas.2026.109523","doi":"https://doi.org/10.1016/j.jaccas.2026.109523","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jaccas.2026.109523","pdf_url":null,"source":{"id":"https://openalex.org/S4210180918","display_name":"JACC Case Reports","issn_l":"2666-0849","issn":["2666-0849"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC: Case Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.jaccas.2026.109523","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5039918919","display_name":"Lillian Zheng","orcid":"https://orcid.org/0000-0001-9894-1762","observed_orcids":["https://orcid.org/0000-0001-9894-1762"]},"institutions":[{"id":"https://openalex.org/I204308271","display_name":"Medical College of Wisconsin","ror":"https://ror.org/00qqv6244","country_code":"US","type":"education","lineage":["https://openalex.org/I204308271"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Lillian Zheng","raw_affiliation_strings":["Medical College of Wisconsin, Milwaukee, Wisconsin, USA. Electronic address: lzheng@mcw.edu"],"raw_orcid":"https://orcid.org/0000-0001-9894-1762","affiliations":[{"raw_affiliation_string":"Medical College of Wisconsin, Milwaukee, Wisconsin, USA. Electronic address: lzheng@mcw.edu","institution_ids":["https://openalex.org/I204308271"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031807135","display_name":"Divyanshu Mohananey","orcid":"https://orcid.org/0000-0003-2815-2949","observed_orcids":["https://orcid.org/0000-0003-2815-2949"]},"institutions":[{"id":"https://openalex.org/I204308271","display_name":"Medical College of Wisconsin","ror":"https://ror.org/00qqv6244","country_code":"US","type":"education","lineage":["https://openalex.org/I204308271"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Divyanshu Mohananey","raw_affiliation_strings":["Medical College of Wisconsin, Milwaukee, Wisconsin, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medical College of Wisconsin, Milwaukee, Wisconsin, USA","institution_ids":["https://openalex.org/I204308271"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5057490196","display_name":"Victor Redmon","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I204308271","display_name":"Medical College of Wisconsin","ror":"https://ror.org/00qqv6244","country_code":"US","type":"education","lineage":["https://openalex.org/I204308271"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Victor Redmon","raw_affiliation_strings":["Medical College of Wisconsin, Milwaukee, Wisconsin, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medical College of Wisconsin, Milwaukee, Wisconsin, USA","institution_ids":["https://openalex.org/I204308271"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5039918919"],"corresponding_institution_ids":["https://openalex.org/I204308271"],"apc_list":{"value":850,"currency":"USD","value_usd":850},"apc_paid":{"value":850,"currency":"USD","value_usd":850},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.68281583,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"31","issue":"37","first_page":"109523","last_page":"109523"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10065","display_name":"Atrial Fibrillation Management and Outcomes","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10065","display_name":"Atrial Fibrillation Management and Outcomes","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11217","display_name":"Cardiac Arrhythmias and Treatments","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11638","display_name":"Cardiac tumors and thrombi","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/left-atrial-appendage-thrombus","display_name":"left atrial appendage thrombus","score":0.9129999876022339},{"id":"https://openalex.org/keywords/cardiac-ct","display_name":"cardiac CT","score":0.9850000143051147},{"id":"https://openalex.org/keywords/transesophageal-echocardiography","display_name":"transesophageal echocardiography","score":0.8960000276565552},{"id":"https://openalex.org/keywords/electrical-cardioversion","display_name":"electrical cardioversion","score":0.9369999766349792},{"id":"https://openalex.org/keywords/atrial-fibrillation","display_name":"atrial fibrillation","score":0.9980000257492065},{"id":"https://openalex.org/keywords/atrial-flutter","display_name":"atrial flutter","score":1.0},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.8560000061988831},{"id":"https://openalex.org/keywords/health-care-utilization","display_name":"health care utilization","score":0.7699999809265137}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8246999979019165},{"id":"https://openalex.org/C544519230","wikidata":"https://www.wikidata.org/wiki/Q32566","display_name":"Computed tomography","level":2,"score":0.641700029373169},{"id":"https://openalex.org/C41451933","wikidata":"https://www.wikidata.org/wiki/Q13415392","display_name":"Appendage","level":2,"score":0.5870000123977661},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.5199000239372253},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.49410000443458557},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.4059999883174896},{"id":"https://openalex.org/C2779161974","wikidata":"https://www.wikidata.org/wiki/Q815819","display_name":"Atrial fibrillation","level":2,"score":0.3959999978542328},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.36390000581741333},{"id":"https://openalex.org/C2910272107","wikidata":"https://www.wikidata.org/wiki/Q1615482","display_name":"Atrial Appendage","level":4,"score":0.3174999952316284},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.265500009059906},{"id":"https://openalex.org/C2989236134","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Patient care","level":2,"score":0.25760000944137573},{"id":"https://openalex.org/C2780040984","wikidata":"https://www.wikidata.org/wiki/Q79785","display_name":"Electrocardiography","level":2,"score":0.2565999925136566}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1016/j.jaccas.2026.109523","doi":"https://doi.org/10.1016/j.jaccas.2026.109523","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jaccas.2026.109523","pdf_url":null,"source":{"id":"https://openalex.org/S4210180918","display_name":"JACC Case Reports","issn_l":"2666-0849","issn":["2666-0849"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC: Case Reports","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13728401","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13728401/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13728401/pdf/main.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC Case Rep","raw_type":"Text"},{"id":"pmid:42752006","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42752006","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC. Case reports","raw_type":"Case Reports"},{"id":"pmh:oai:doaj.org/article:f723d38d732a4729af957b1d3bdfcaf3","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/f723d38d732a4729af957b1d3bdfcaf3","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"JACC: Case Reports, Vol 31, Iss 37, Pp 109523- (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1016/j.jaccas.2026.109523","doi":"https://doi.org/10.1016/j.jaccas.2026.109523","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jaccas.2026.109523","pdf_url":null,"source":{"id":"https://openalex.org/S4210180918","display_name":"JACC Case Reports","issn_l":"2666-0849","issn":["2666-0849"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC: Case Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7213429098.pdf","grobid_xml":"https://content.openalex.org/works/W7213429098.grobid-xml"},"referenced_works_count":7,"referenced_works":["https://openalex.org/W2048943125","https://openalex.org/W2160613225","https://openalex.org/W2329793854","https://openalex.org/W3083221580","https://openalex.org/W3161350697","https://openalex.org/W4306825017","https://openalex.org/W4389165660"],"related_works":["https://openalex.org/W4380795700","https://openalex.org/W7156303535","https://openalex.org/W4410591044","https://openalex.org/W4306825017","https://openalex.org/W1582963094","https://openalex.org/W4380727857","https://openalex.org/W1977131268","https://openalex.org/W4399919447","https://openalex.org/W4415789610","https://openalex.org/W3186547940"],"abstract_inverted_index":{"BACKGROUND:":[0],"Transesophageal":[1],"echocardiography":[2],"(TEE)":[3],"is":[4,23,139],"routinely":[5],"used":[6],"to":[7,42,64],"exclude":[8],"left":[9],"atrial":[10,19,74],"appendage":[11],"thrombus":[12],"before":[13],"direct":[14],"current":[15],"cardioversion":[16,65],"(DCCV)":[17],"in":[18],"fibrillation/atrial":[20,75],"flutter":[21,76],"but":[22],"invasive":[24],"and":[25,47,66,92,99,128,142],"limited":[26],"by":[27],"procedural":[28],"availability.":[29],"Cardiac":[30],"computed":[31],"tomography":[32],"(CCT)":[33],"offers":[34],"a":[35,113],"noninvasive":[36],"alternative.":[37],"PROJECT":[38,68],"RATIONALE:":[39],"Limited":[40],"access":[41],"TEE":[43],"may":[44],"delay":[45],"DCCV":[46],"prolong":[48],"hospital":[49],"length":[50],"of":[51,97,137],"stay":[52],"(LOS).":[53],"We":[54],"hypothesized":[55],"that":[56],"an":[57],"early":[58],"CCT-guided":[59,78],"pathway":[60],"would":[61],"reduce":[62],"time":[63],"LOS.":[67],"SUMMARY:":[69],"Adult":[70],"patients":[71,81],"hospitalized":[72],"with":[73,95,112,123],"underwent":[77],"evaluation.":[79],"Twenty-two":[80],"were":[82],"included":[83],"across":[84],"2":[85],"plan-do-study-act":[86],"cycles.":[87],"Mean":[88],"time-to-DCCV":[89,125],"was":[90,121],"0.75":[91],"1.0":[93],"days,":[94,101],"LOS":[96,129],"3.9":[98],"4.6":[100],"respectively.":[102],"No":[103],"acute":[104],"kidney":[105],"injury":[106],"or":[107],"anesthesia-related":[108],"complications":[109],"occurred.":[110],"Compared":[111],"historical":[114],"TEE-guided":[115],"cohort":[116],"(n":[117],"=":[118],"278),":[119],"CCT":[120,138],"associated":[122],"shorter":[124],"(3.8":[126],"days)":[127],"(6.3":[130],"days).":[131],"TAKE-HOME":[132],"MESSAGE:":[133],"Early,":[134],"standardized":[135],"use":[136],"feasible,":[140],"safe,":[141],"reduces":[143],"treatment":[144],"delays.":[145]},"counts_by_year":[],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2026-09-17T00:00:00"}
