Left Atrial Appendage CLOSURE for the Prevention of Thromboembolisms in Patients Undergoing Aortic Bioprosthesis Surgery
NCT02321137 · Status: ACTIVE_NOT_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1040
Last updated 2025-06-10
Summary
The primary purpose of the LAA-CLOSURE trial is to assess the efficacy and safety of surgical closure of LAA in patients undergoing aortic valve replacement. This randomized, prospective, open-label international multicenter trial will enroll 1040 patients undergoing aortic valve replacement with CHA2DS2-VASC score ≥2 but without an indication for anticoagulation at the time of enrollment. Patients will be randomized in 1:1 fashion to standard therapy + surgical closure of LAA vs. standard therapy alone. The duration of the study is five years (plus additional 10 years).
Conditions
- Aortic Stenosis
Interventions
- PROCEDURE
-
Surgical closure of left atrial appendage
aortic valve replacement with bioprosthesis according to indications in the current guidelines for the management of valvular heart disease. The operation as well as the pre and post-operative care will be performed according to local surgical policies.
- PROCEDURE
-
No closure of left atrial appendage
aortic valve replacement with bioprosthesis according to indications in the current guidelines for the management of valvular heart disease.
Sponsors & Collaborators
-
Helsinki University Central Hospital
collaborator OTHER -
Kuopio University Hospital
collaborator OTHER -
St. Antonius Hospital
collaborator OTHER -
Landspitali University Hospital
collaborator OTHER -
University of Turku
lead OTHER
Principal Investigators
-
Tuomas Kiviniemi, MD, PhD · Turku University Hospital, Turku, Finland
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-11-30
- Primary Completion
- 2025-04-30
- Completion
- 2029-12-31
Countries
- Finland
- Netherlands
Study Locations
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