Comparison of Outcomes After Left Atrial Appendage Closure or Oral Anticoagulation in Patients With Atrial Fibrillation
NCT02787525 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 1000
Last updated 2017-01-04
Summary
The aim of the study is to compare intermedium-term clinical outcomes, including thromboembolic events and bleeding complications between patients with non-valvular atrial fibrillation treated with either oral anticoagulation or who had undergone LAA-closure (left atrial closure).
A questionnaire is sent to the patients and if there is some information missing or unclear, the investigators will contact the patient or the treating physicians to get the missing/unclear information.
The study population consists of 500 patients with non-valvular atrial fibrillation (AF) who underwent LAAC between the years 2009 and 2014 in two centers (the Bern University hospital und Zurich University hospital) and a similar group of 500 patients with non-valvular AF treated with oral anticoagulation (OAC).
In order to compare the two groups and reducing the bias due to confounding variables, a propensity score matching will be performed.
Study hypothesis is that left atrial appendage closure is non-inferior in terms of efficacy and safety in comparison to lifelong oral anticoagulation in patients with non-valvular atrial fibrillation.
Conditions
Interventions
- OTHER
-
Questionnaire
A clinical sweep follow up will be performed in all patients of both groups and results will be analyzed. It will be in form of a standardized questionnaire and if necessary telephone interviews asking about thrombo-embolic events, stroke, death, any bleeding but also on their current medication, comorbidities (i.e. arterial hypertension, diabetes mellitus, renal impairment and liver disease), any hospitalizations and their quality of life. For all events, the source documents will be gathered from general physicians, cardiologists, hospitals or registry offices. The questionnaire will be sent by mail to the patients. If information is missing or unclear, patients and if necessary their treating physician will be contacted by phone.
Sponsors & Collaborators
-
Insel Gruppe AG, University Hospital Bern
lead OTHER
Principal Investigators
-
Steffen Gloeckler, PD Dr. med · University hospital Berne
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-07-31
- Primary Completion
- 2016-11-30
- Completion
- 2016-12-31
More Related Trials
-
Thoracoscopic Surgical Versus Catheter Ablation Approaches for Primary Treatment of Persistent Atrial Fibrillation
NCT04715425 ·Status: RECRUITING ·Phase: NA
-
Left Atrial Appendage Arrhythmogenic and Thrombogenic Substrate
NCT06405750 ·Status: RECRUITING ·Phase: NA
-
Left Atrial Appendage Closure by Surgery-2
NCT03724318 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Surgical PA-LAA Shunting: a Feasibility Study
NCT04704791 ·Status: WITHDRAWN ·Phase: NA
-
Surgical or Catheter Ablation of Lone Atrial Fibrillation (AF) Patients
NCT00703157 ·Status: TERMINATED ·Phase: NA
-
Impact of Left Atrial Appendage Exclusion on Short-Term Clinical Outcomes and Long-Term Stroke Incidence
NCT00486915 ·Status: COMPLETED ·Phase: NA
-
Atrial Fibrillation Ablation
NCT03410966 ·Status: COMPLETED ·Phase: NA
-
Atrial Fibrillation (AF) Ablation to Prevent Disease Progression of AF-induced Atrial Cardiomyopathy in Women and Men
NCT06200311 ·Status: RECRUITING ·Phase: NA
-
Coagulation Activity and Thrombogenesis in Patients With Atrial Fibrillation
NCT02451254 ·Status: COMPLETED ·Phase: NA
-
Cardiac Assessment for Recurrent Stroke Risk Evaluation in Atrial Fibrillation
NCT06954610 ·Status: RECRUITING
-
LAA Excision With AF Ablation Versus Oral Anticoagulants for Secondary Prevention of Stroke
NCT02478294 ·Status: COMPLETED
-
Pacing of Left Bundle Branch Area and Atroventricular Node ablatIon in Patients With Symptomatic Atrial Fibrillation
NCT06699342 ·Status: RECRUITING ·Phase: NA
-
Left Atrial Appendage Closure vs. Novel Anticoagulation Agents in Atrial Fibrillation
NCT02426944 ·Status: COMPLETED ·Phase: PHASE4
-
Multimodal Prognostic Assessment of Acute Ischemic Stroke Patients With Atrial Fibrillation: a Prospective, Multicenter, Observational Study (IAT-CLOSURE)
NCT06548269 ·Status: RECRUITING
-
The Left Atrial Appendage Closure by Surgery and the Incidence of Stroke in Patients Undergoing Open-heart Surgery.
NCT06172738 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Intensive Molecular and Electropathological Characterization of Patients Undergoing Atrial Fibrillation Ablation
NCT04342312 ·Status: UNKNOWN
-
Atrial Fibrillation Management in Congestive Heart Failure With Ablation
NCT00652522 ·Status: COMPLETED ·Phase: NA
-
LAA Clipping Versus NOACs to Prevent Stroke in Non-paroxysmal Atrial Fibrillation.
NCT06021808 ·Status: RECRUITING ·Phase: NA
-
Combined Endoscopic Epicardial and Percutaneous Endocardial Ablation Versus Repeated Catheter Ablation in Persistent and Longstanding Persistent Atrial Fibrillation
NCT02695277 ·Status: COMPLETED ·Phase: NA
-
Defining the Optimal Cryoballoon Duration Therapy for Treatment of Atrial Fibrillation: Defining the Optimal Cryoballoon Duration Therapy for Treatment of Atrial Fibrillation: The 1-2-3 Study
NCT02074566 ·Status: COMPLETED ·Phase: NA
-
Reappraisal of Atrial Fibrillation: Interaction Between HyperCoagulability, Electrical Remodeling, and Vascular Destabilisation in the Progression of Atrial Fibrillation
NCT02726698 ·Status: COMPLETED
-
CoolLoop Paroxysmal Atrial Fibrillation
NCT02553239 ·Status: TERMINATED ·Phase: NA
-
Investigation of Therapeutic Ablation Versus Cardioversion for AF
NCT03907982 ·Status: COMPLETED ·Phase: NA
-
Repeat Ablation Procedure in Patients With Relapse of Atrial Fibrillation
NCT01229306 ·Status: UNKNOWN ·Phase: NA
-
A Prospective Study of Medical Therapy Against Cryoballoon Ablation in Symptomatic Recent Onset Persistent AF
NCT02389218 ·Status: COMPLETED ·Phase: PHASE4