Device Closure Versus Medical Therapy for Cryptogenic Stroke Patients With High-Risk Patent Foramen Ovale (DEFENSE-PFO)
NCT01550588 · Status: UNKNOWN · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 210
Last updated 2017-06-29
Summary
Background and hypothesis:
The appropriate treatment strategy for secondary stroke prevention in patients with cryptogenic stroke and patent foramen ovale (PFO) remains challenging. Clinical and anatomical variables reported to be risk factors associated with stroke recurrence include older age, large PFO, large right-to-left shunting, and combined atrial septal aneurysm (ASA), which, however, were not confirmed by other studies. The investigators hypothesized that percutaneous closure of PFO could be an effective option for secondary prevention in cryptogenic stroke patients with high-risk PFO.
Trial Objective:
The primary objective of this study is to assess whether percutaneous device closure of PFO is superior to conventional antithrombotic treatment in preventing stroke recurrence in the cryptogenic stroke patients with high-risk PFO.
Conditions
- Patent Foramen Ovale
Interventions
- DEVICE
-
Device closure
PFO Amplatzer device closure
- DRUG
-
Standard medical treatment
Standard Medical management using anti-coagulant therapy
Sponsors & Collaborators
-
Jae-Kwan Song
lead OTHER
Principal Investigators
-
Jae-Kwan Song, MD, PhD · Department of medicine, Asan Medical Center, University of Ulsan College of Medicine
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-02-29
- Primary Completion
- 2020-02-29
- Completion
- 2020-02-29
Countries
- South Korea
Study Locations
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