Stand-alone Totally Thoracoscopic Left Atrial Appendage Occlusion Using AtriClip® Device in Non-valvular Atrial Fibrillation.

NCT ID: NCT03838341

Last Updated: 2019-03-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-06-08

Study Completion Date

2025-01-01

Brief Summary

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Polish multicenter registry to assess safety and durability of totally thoracoscopic left atrial appendage occlusion for stroke prevention in atrial fibrillation.

Detailed Description

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The THORACS-LAAO Registry is the Polish multi-institutional registry of the consecutive patients with atrial fibrillation assigned for the totally thoracoscopic left atrial appendage occlusion (LAAO) for stroke prevention with designed epicardial clip AtriClip®. The registry has no limit of the number of patient included. Patients will be followed up with transoesophageal echocardiography at 6-12 months to assess the durability of left atrial appendage (LAA) oclusion and collect the informations about possible adverse events.

Conditions

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Stroke Prevention Atrial Fibrillation Safety Issues

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Included

The consecutive patients with atrial fibrillation assigned to totally thoracoscopic stand-alone left atrial appendage occlusion using AtriClip® for stroke prevention.

AtriClip™ LAA Exclusion System

Intervention Type DEVICE

The left atrial appendage is closed from the epicardial side of the heart. Operative access is totally thoracoscopic. The designed and dedicated clip - AtriClip® (AtriCure, Ohio, USA) is introduced to the left pleura through thoracoscopic port.

Oral anticoagulation therapy

Intervention Type DRUG

Anticoagulation therapy discontinuation - according to the standard of care at the discretion of the Investigator.

Interventions

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AtriClip™ LAA Exclusion System

The left atrial appendage is closed from the epicardial side of the heart. Operative access is totally thoracoscopic. The designed and dedicated clip - AtriClip® (AtriCure, Ohio, USA) is introduced to the left pleura through thoracoscopic port.

Intervention Type DEVICE

Oral anticoagulation therapy

Anticoagulation therapy discontinuation - according to the standard of care at the discretion of the Investigator.

Intervention Type DRUG

Other Intervention Names

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AtriClip LAA Exclusion System and Delivery System (LAAØ) AtriClip LAA Exclusion System and Delivery System (PRO1) AtriClip LAA Exclusion System and Delivery System (PRO2)

Eligibility Criteria

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Inclusion Criteria

* Age \>18 years
* Lone atrial fibrillation
* Previous stroke or systemic thromboembolic complications
* High risk of thromboembolic complications assessed with CHA2DS2-VASc Score \>2
* High bleeding risk assessed with HASBLED score =\> 2.
* Contraindications to oral anticoagulation
* Complications of the oral anticoagulation
* Acceptable surgical candidate, including use of general anaesthesia

Exclusion Criteria

* Patient refusal
* Significant valve disease or coronary multi-vessel artery lesions requiring surgery
* Stroke/cerebrovascular accident (CVA) within previous 30 days
* Critical preoperative state


* Presence of thrombus in the left atrium or LAA as documented on intra-operative transesophageal echocardiography
* LAA tissue with significant adhesions (as evaluated by the surgeon) carries AtriClip placement overly risky.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Central Clinical Hospital of the Ministry of Internal Affairs and Administration, Warsaw, Poland

OTHER

Sponsor Role lead

Responsible Party

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Piotr Suwalski, PhD

Doctor of Philosophy

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Piotr Suwalski, PhD

Role: PRINCIPAL_INVESTIGATOR

Central Clinical Hospital of Ministry of the Interior and Administration in Warsaw

Locations

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Central Clinical Hospital of Ministry of the Interior and Administration in Warsaw

Warsaw, , Poland

Site Status RECRUITING

Countries

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Poland

Central Contacts

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Piotr Suwalski, PhD

Role: CONTACT

+48225081269

Anna Witkowska, MD

Role: CONTACT

+48662076716

Facility Contacts

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Piotr Suwalski, PhD

Role: primary

+48225081269

Anna Witkowska, MD

Role: backup

+48662076716

Other Identifiers

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ThR-LAAO-PL

Identifier Type: -

Identifier Source: org_study_id

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