{
  "abstract": "Background: Transesophageal echocardiography (TEE) is routinely used to exclude left atrial appendage thrombus before direct current cardioversion (DCCV) in atrial fibrillation/atrial flutter but is invasive and limited by procedural availability. Cardiac computed tomography (CCT) offers a noninvasive alternative.\n\nProject Rationale: Limited access to TEE may delay DCCV and prolong hospital length of stay (LOS). We hypothesized that an early CCT-guided pathway would reduce time to cardioversion and LOS.\n\nProject Summary: Adult patients hospitalized with atrial fibrillation/atrial flutter underwent CCT-guided evaluation. Twenty-two patients were included across 2 plan-do-study-act cycles. Mean time-to-DCCV was 0.75 and 1.0 days, with LOS of 3.9 and 4.6 days, respectively. No acute kidney injury or anesthesia-related complications occurred. Compared with a historical TEE-guided cohort (n = 278), CCT was associated with shorter time-to-DCCV (3.8 days) and LOS (6.3 days).\n\nTake-Home Message: Early, standardized use of CCT is feasible, safe, and reduces treatment delays.",
  "abstract_shown": true,
  "affiliations": [
    "Medical College of Wisconsin, Milwaukee, Wisconsin, USA"
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Lillian Zheng"
    },
    {
      "affs": [
        0
      ],
      "name": "Divyanshu Mohananey"
    },
    {
      "affs": [
        0
      ],
      "name": "Victor Redmon"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/cmn7s1eqa28a3.bib",
  "cited_by": 0,
  "doi": "10.1016/j.jaccas.2026.109523",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13728401/",
  "id": "cmn7s1eqa28a3",
  "issns": [
    "2666-0849"
  ],
  "landing_url": "https://doi.org/10.1016/j.jaccas.2026.109523",
  "language": "en",
  "licence": "CC-BY-NC-ND-4.0",
  "licence_label": "CC BY-NC-ND 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Outcomes and Quality"
    ],
    [
      "heading",
      "Quality Improvement Projects"
    ],
    [
      "openalex",
      "2705|Atrial Fibrillation Management and Outcomes"
    ]
  ],
  "openalex": "W7213429098",
  "pdf_url": null,
  "pmcid": "PMC13728401",
  "pmid": "42752006",
  "published": "2026-09-16",
  "publisher": "Elsevier",
  "ris": "https://research.draconitic.com/paper/cmn7s1eqa28a3.ris",
  "sources": [
    {
      "first_seen": "2026-11-07T12:21:24Z",
      "native_id": "PMC13728401",
      "source": "pmc",
      "url": "https://doi.org/10.1016/j.jaccas.2026.109523"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2705|Atrial Fibrillation Management and Outcomes",
      "subfield": "cardiovascular"
    }
  ],
  "title": "Early Evaluation of Left Atrial Appendage With Cardiac Computed Tomography to Reduce Health Care Utilization",
  "title_text": "Early Evaluation of Left Atrial Appendage With Cardiac Computed Tomography to Reduce Health Care Utilization",
  "type": "peer-reviewed",
  "updated_at": "2026-11-07T12:21:24Z",
  "url": "https://research.draconitic.com/paper/cmn7s1eqa28a3",
  "venue": "JACC Case Reports",
  "versions": []
}