Left Atrial Appendage Exclusion for Prophylactic Stroke Reduction Trial

NCT ID: NCT05478304

Last Updated: 2025-08-12

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

6573 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-25

Study Completion Date

2032-04-30

Brief Summary

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This trial is a prospective, randomized, multicenter, multinational, blinded, superiority trial. The objective of this trial is to evaluate the effectiveness of left atrial appendage exclusion (LAAE) for the prevention of ischemic stroke or systemic arterial embolism in subjects undergoing cardiac surgery who have risk factors for atrial fibrillation and ischemic stroke.

Detailed Description

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Conditions

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Ischemic Stroke Systemic Embolism

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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Treatment

LAAE using the AtriClip concomitant to and at the time of planned cardiac surgery

Group Type EXPERIMENTAL

AtriClip LAA Exclusion System

Intervention Type DEVICE

LAAE using the AtriClip concomitant to and at the time of planned cardiac surgery

Control

No LAAE concomitant to and at the time of planned cardiac surgery

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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AtriClip LAA Exclusion System

LAAE using the AtriClip concomitant to and at the time of planned cardiac surgery

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Subjects ≥ 18 years of age
* Documentation of any of the following clinical criteria:

* CHA2DS2-VASc ≥ 4 with age ≥ 65
* CHA2DS2-VASc ≥ 4 with significant left atrium enlargement or elevated NT-proBNP
* CHA2DS2-VASc = 3 with age ≥ 75
* CHA2DS2-VASc = 3 with significant left atrium enlargement or elevated NT-proBNP
* CHA2DS2-VASc score = 2 with age ≥ 65 and significant left atrium enlargement or elevated NT-proBNP

Exclusion Criteria

* Clinically significant atrial fibrillation or atrial flutter:

* Anytime in the past and
* Documented by an electrocardiographic recording and
* Episode lasting 6 minutes or longer1\*
* Prior procedure involving opening the pericardium or entering the pericardial space
* Prior LAA occlusion, exclusion, or removal (surgical or percutaneous)
* Planned cardiac surgical procedure using non-sternotomy approaches

o Partial sternotomies will be allowed.
* Patients whose planned procedure is a heart transplant or implantation of any ventricular assist devices
* Active endocarditis
* Active systemic infection at the time of cardiac surgery requiring antibiotics, including known SARS-CoV2 infections regardless of symptoms
* Known allergy to Nitinol or nickel sensitivity
* Known medical condition with expected survival of less than 1 year
* Other comorbidities that in the investigator's opinion make the subject unsuitable candidate to complete the protocol required visits.
* Current enrollment in an investigation or trial or an investigational devices or investigational drug that would interfere with this trial.
* Mental impairment or other psychiatric conditions which may not allow the patient to understand the nature, significance, and scope of the trial.
* Pregnancy
* Known severe symptomatic carotid disease
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Population Health Research Institute

OTHER

Sponsor Role collaborator

AtriCure, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Richard Whitlock, MD

Role: STUDY_CHAIR

McMaster University

Locations

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Heart Center Research / Huntsville Hospital

Huntsville, Alabama, United States

Site Status

HonorHealth Shea Scottsdale Healthcare

Scottsdale, Arizona, United States

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St. Bernard's Heart & Vascular

Jonesboro, Arkansas, United States

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CHI St. Vincent

Little Rock, Arkansas, United States

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Arkansas Heart Hospital

Little Rock, Arkansas, United States

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Memorial Care Long Beach Medical Center

Long Beach, California, United States

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Keck Medical Center of USC

Los Angeles, California, United States

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Hoag Memorial Hospital Presbyterian

Newport Beach, California, United States

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Sutter Sacramento Hospital

Sacramento, California, United States

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Stanford University

Stanford, California, United States

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University of Colorado

Boulder, Colorado, United States

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Hartford Hospital

Hartford, Connecticut, United States

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Christiana Care Health Services

Newark, Delaware, United States

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Medstar Washington Hospital Center

Washington D.C., District of Columbia, United States

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HCA Florida JFK Hospital

Atlantis, Florida, United States

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HealthPark Medical Center

Fort Myers, Florida, United States

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University of Florida Hospital

Gainesville, Florida, United States

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Memorial Regional Hospital

Hollywood, Florida, United States

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Baptist Health Jacksonville

Jacksonville, Florida, United States

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Baptist Health South Florida

Miami, Florida, United States

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Advent South

Orlando, Florida, United States

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Orlando Regional Medical Center

Orlando, Florida, United States

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Sarasota Memorial Hospital

Sarasota, Florida, United States

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Tampa General Hospital

Tampa, Florida, United States

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Baycare Health System

Tampa, Florida, United States

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Emory University Hospital

Atlanta, Georgia, United States

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Piedmont Hospital

Atlanta, Georgia, United States

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Wellstar - Kennestone

Marietta, Georgia, United States

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St. Luke's Regional Medical Center

Boise, Idaho, United States

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Portneuf Medical Center

Idaho Falls, Idaho, United States

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Northwestern Memorial Hospital

Chicago, Illinois, United States

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Loyola University Medical Center

Maywood, Illinois, United States

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Memorial Hospital (SIU Medicine)

Springfield, Illinois, United States

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Ascension St. Vincent

Carmel, Indiana, United States

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Franciscan

Indianapolis, Indiana, United States

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Mercy Medical Center

Des Moines, Iowa, United States

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University of Iowa Hospitals and Clinics

Iowa City, Iowa, United States

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St. Luke's Hospital

Kansas City, Kansas, United States

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Kansas University Medical Center

Kansas City, Kansas, United States

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Baptist Health

Lexington, Kentucky, United States

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University of Kentucky

Lexington, Kentucky, United States

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Norton Healthcare

Louisville, Kentucky, United States

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University of Louisville Health / Jewish Hospital

Louisville, Kentucky, United States

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Novant Presbyterian Hospital

Louisville, Kentucky, United States

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Our Lady of the Lake Hospital

Baton Rouge, Louisiana, United States

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Johns Hopkins Hospital

Baltimore, Maryland, United States

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Tufts Medical Center

Boston, Massachusetts, United States

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Massachusetts General Hospital

Boston, Massachusetts, United States

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Brigham and Women's Hospital

Boston, Massachusetts, United States

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Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

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University of Michigan

Ann Arbor, Michigan, United States

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Corewell Health

Grand Rapids, Michigan, United States

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Corewell Health East

Royal Oak, Michigan, United States

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Munson Medical Center

Traverse City, Michigan, United States

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Trinity Health (formerly St. Joesph Mercy)

Ypsilanti, Michigan, United States

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Mercy Medical Center

Coon Rapids, Minnesota, United States

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Abbott Northwestern / Minneapolis Heart

Minneapolis, Minnesota, United States

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Mayo Clinic

Rochester, Minnesota, United States

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North Mississippi Medical Center

Tupelo, Mississippi, United States

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Midwest Heart and Vascular (HCA)

Kansas City, Missouri, United States

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St. Lukes Hospital

St Louis, Missouri, United States

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Washington University

St Louis, Missouri, United States

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Mercy Hospital St. Louis

St Louis, Missouri, United States

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Nebraska Methodist

Omaha, Nebraska, United States

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The Nebraska Medical Center

Omaha, Nebraska, United States

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Hackensack University Medical Center

Hackensack, New Jersey, United States

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Rutgers Robert Woods Johnson Medical School

New Brunswick, New Jersey, United States

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The Valley Hospital

Paramus, New Jersey, United States

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North Shore University Hospital (Northwell)

Manhasset, New York, United States

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St. Francis Hospital

Roslyn, New York, United States

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St. Joseph Hospital

Syracuse, New York, United States

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Atrium Health Carolinas Medical Center

Charlotte, North Carolina, United States

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Duke University

Durham, North Carolina, United States

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WakeMed Health & Hospitals

Raleigh, North Carolina, United States

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Wake Forest Baptist

Winston-Salem, North Carolina, United States

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TriHealth / Bethesda North Hospital

Cincinnati, Ohio, United States

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Christ Hospital / Lindner Research Center

Cincinnati, Ohio, United States

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University Hospitals of Cleveland

Cleveland, Ohio, United States

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Cleveland Clinic Foundation

Cleveland, Ohio, United States

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Ohio State Medical Center

Columbus, Ohio, United States

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Riverside Methodist

Columbus, Ohio, United States

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The Toledo Hospital (Promedica)

Toledo, Ohio, United States

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Lehigh Valley Health Network

Allentown, Pennsylvania, United States

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UPMC Pinnacle

Harrisburg, Pennsylvania, United States

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Lancaster General Hospital

Lancaster, Pennsylvania, United States

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Allegheny General Hospital

Pittsburgh, Pennsylvania, United States

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UPMC Health System

Pittsburgh, Pennsylvania, United States

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Lankenau Hospital

Wynnewood, Pennsylvania, United States

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Medical University of South Carolina (MUSC)

Charleston, South Carolina, United States

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Sanford USD Medical Center

Sioux Falls, South Dakota, United States

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Jackson Madison County General

Jackson, Tennessee, United States

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Centennial Medical Center (TriStar)

Nashville, Tennessee, United States

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Ascension St. Thomas West

Nashville, Tennessee, United States

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UT Dell Medical School

Austin, Texas, United States

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HCA Medical City Dallas

Dallas, Texas, United States

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University of Texas Southwestern

Dallas, Texas, United States

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Houston Methodist Hospital

Houston, Texas, United States

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Baylor Heart Hospital - Plano

Plano, Texas, United States

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Trinity Mother Frances (CHRISTUS)

Tyler, Texas, United States

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University of Utah

Salt Lake City, Utah, United States

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Inova Fairfax Medical

Falls Church, Virginia, United States

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Sentara Hospitals & Sentara Medical Group

Norfolk, Virginia, United States

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Swedish Heart and Vascular Research

Seattle, Washington, United States

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Charleston Area Medical Center (CAMC)

Charleston, West Virginia, United States

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West Virginia University

Morgantown, West Virginia, United States

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Columbia St. Mary's

Milwaukee, Wisconsin, United States

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Aspirus Hospital

Wausau, Wisconsin, United States

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Gold Coast University Hospital

Southport, Queensland, Australia

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Victorian Heart Hospital and Monash University

Clayton, Victoria, Australia

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St. Vincent's Hospital Melbourne

Fitzroy, Victoria, Australia

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Medical University Hospital Graz

Graz, Styria, Austria

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Medical University Vienna

Vienna, , Austria

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University Hospitals UZ Leuven

Leuven, Brabant, Belgium

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UZ Brussels

Jette, Brussels Capital, Belgium

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Foothills Medical Centre

Calgary, Alberta, Canada

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University of Alberta Hospital

Edmonton, Alberta, Canada

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Royal Columbian Hospital

New Westminster, British Columbia, Canada

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New Brunswick Heart Centre

Saint John, New Brunswick, Canada

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Queen Elizabeth II - Nova Scotia Health

Halifax, Nova Scotia, Canada

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Hamilton General Hospital

Hamilton, Ontario, Canada

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Kingston General Hospital

Kingston, Ontario, Canada

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London Health Sciences Centre

London, Ontario, Canada

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Ottawa Heart Institute

Ottawa, Ontario, Canada

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St Michael's Hospital

Toronto, Ontario, Canada

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Toronto General Hospital

Toronto, Ontario, Canada

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Centre Hospitalier de l'Université de Montréal (CHUM)

Montreal, Quebec, Canada

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Montreal Heart Institute

Montreal, Quebec, Canada

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IUCPQ Hosptial Laval

Québec, , Canada

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CKTCH Brno

Brno, , Czechia

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University Heart Venter Freiburg Bad Krozingen

Freiburg im Breisgau, Baden-Wurttemberg, Germany

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Rhön-Klinikum Campus Bad Neustadt

Bad Neustadt an der Saale, Bavaria, Germany

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Deutsches Herzzentrum der Charité

Berlin, Brandenburg, Germany

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Bad Rothefelde Schüchtermann-Klinik

Bad Rothenfelde, Lower Saxony, Germany

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University Heart and Vascular Center Hamburg

Hamburg, , Germany

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Albertinen Krankenhaus

Hamburg, , Germany

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Waikato Hospital-Hamilton

Hamilton, Waikato Region, New Zealand

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Hospital Clinic Barcelona

Barcelona, , Spain

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Hospital Clinico San Carlos

Madrid, , Spain

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Northern General Hospital

Sheffield, Great Britain, United Kingdom

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St. Bartholomew's Hospital

London, Greater London, United Kingdom

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The James Cook University Hospital

Middlesbrough, North Yorkshire, United Kingdom

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The Royal Wolverhampton NHS Trust

Wolverhampton, West Midlands, United Kingdom

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Royal Papworth Hospital

Cambridge, , United Kingdom

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Countries

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United States Australia Austria Belgium Canada Czechia Germany New Zealand Spain United Kingdom

References

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Whitlock RP, McCarthy PM, Gerdisch MW, Ramlawi B, Alexander JH, Sultan I, Rose DZ, Healey JS, Sharma YA, Belley-Cote EP, Connolly SJ. The left atrial appendage exclusion for prophylactic stroke reduction (LEAAPS) trial: Rationale and design. Am Heart J. 2025 Jun;284:94-102. doi: 10.1016/j.ahj.2024.10.006. Epub 2024 Oct 11.

Reference Type DERIVED
PMID: 39395566 (View on PubMed)

Other Identifiers

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CP-2021-05

Identifier Type: -

Identifier Source: org_study_id

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