Recurrent or Persistent Device Related Thrombus After Left Atrial Appendage Occlusion: The RE-DRT Study
NCT06177704 · Status: NOT_YET_RECRUITING · Type: OBSERVATIONAL · Enrollment: 100
Last updated 2026-03-24
Summary
This study is a prospective, multicenter international trial aimed at assessing the actual incidence, identifying associated factors, and evaluating the clinical consequences of both persistent and recurrent device-related thrombus (DRT) following percutaneous left atrial appendage occlusion (LAAO).
While LAAO has shown efficacy in reducing the risk of stroke, device-related thrombus (DRT) remains a significant concern. The reported incidence of DRT varies, and it is associated with an elevated risk of ischemic stroke and death. The study highlights that persistent and recurrent DRT pose higher risks of thromboembolic events, and current data come from retrospective studies with non-standardized imaging follow-up protocols. The timing of imaging follow-up is crucial, and the study notes discrepancies in recommendations from expert statements. The EHRA/EAPCI suggests imaging at specific intervals post-procedure, while the SCAI/HRS recommends repeat imaging at shorter intervals to assess DRT resolution. The study underscores the need for dedicated prospective data to accurately determine the incidence, factors, and clinical impact of persistent and recurrent DRT after LAAO.
Conditions
- Percutaneous Left Atrial Appendage Occlusion (LAAO)
- Device-related Thrombus (DRT)
- Thromboembolic Event
- Major Cardioembolic Events
- Major Bleeding - TIMI Classification
Sponsors & Collaborators
-
Institut universitaire de cardiologie et de pneumologie de Québec, University Laval
lead OTHER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-12-01
- Primary Completion
- 2028-01-01
- Completion
- 2028-01-01
Countries
- Canada
Study Locations
More Related Trials
-
Distal Versus Conventional Transradial Artery Access for Coronary Catheterization in Patients With STEMI
NCT05605288 ·Status: RECRUITING ·Phase: NA
-
Percutaneous Revascularization in Infarction With Late Presentation and Absence of Viability: Effects on Left Ventricular Remodeling and Contractility
NCT05160311 ·Status: UNKNOWN ·Phase: NA
-
Prevention of Post-STEMI Left Ventricular Thrombus With Optimized Anticoagulant (EARLYmyo-LVT Ⅱ)
NCT03786757 ·Status: UNKNOWN ·Phase: PHASE3
-
Same Day Versus Next Day Discharge: Ambulatory Closure Device Percutaneous Intervention
NCT01230606 ·Status: COMPLETED
-
AngioJET Thrombectomy and STENTing for Treatment of Acute Myocardial Infarction
NCT00275990 ·Status: COMPLETED ·Phase: PHASE4
-
A Trial of Routine Aspiration Thrombectomy With Percutaneous Coronary Intervention (PCI) Versus PCI Alone in Patients With ST-Segment Elevation Myocardial Infarction (STEMI) Undergoing Primary PCI
NCT01149044 ·Status: COMPLETED ·Phase: NA
-
LV Thrombus After Acute AMI: A Randomized Controlled Trial
NCT01556659 ·Status: TERMINATED ·Phase: NA
-
Selective Aspiration Thrombectomy in STEMI
NCT03841487 ·Status: COMPLETED
-
Very Early Versus Delayed Angiography +/- Intervention on Outcomes in Patients With NSTEMI
NCT03707314 ·Status: TERMINATED ·Phase: NA
-
Thrombectomy in Acute Myocardial Infarction
NCT00675480 ·Status: COMPLETED ·Phase: PHASE3
-
Relation of Laboratory Indices to Left Ventricular Thrombus Formation in Patients With Acute Anterior ST Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention or Thrombolytic Therapy
NCT06152939 ·Status: NOT_YET_RECRUITING
-
STrategic Reperfusion in Elderly Patients Early After Myocardial Infarction
NCT02777580 ·Status: COMPLETED ·Phase: PHASE4
-
Anticoagulation in Post MI LV Thrombus Trial in Nepal
NCT05794399 ·Status: RECRUITING ·Phase: PHASE4
-
Study Evaluating How Patients With Acute Coronary Syndrome Are Managed During 2 Years After Discharge
NCT01171404 ·Status: COMPLETED
-
Dual Therapy With Dabigatran/Ticagrelor Versus Dual Therapy With Dabigatran/Clopidogrel in ACS Patients With Indication for NOAC Undergoing PCI
NCT04688723 ·Status: UNKNOWN ·Phase: PHASE4
-
In-hospital Clinical Outcome of Deferred Stenting Versus Immediate Stenting in the Management of Acute STEMI Presenting With High Thrombus Burden.
NCT05647018 ·Status: UNKNOWN ·Phase: PHASE2
-
Effect of Thrombus Aspiration in Patients With Myocardial Infarction Presenting Late After Symptom Onset
NCT01379248 ·Status: COMPLETED ·Phase: PHASE4
-
Uninterrupted Dabigatran Etexilate in Comparison to Uninterrupted Warfarin in Pulmonary Vein Ablation (RE-CIRCUIT)
NCT02348723 ·Status: COMPLETED ·Phase: PHASE4
-
Stent Placement and the Risk of New-onset AF in Patients With AMI
NCT03382990 ·Status: UNKNOWN
-
Long Term Clinical Efficacy of Thrombectomy Devices in Acute ST Elevation Myocardial Infarction
NCT00766740 ·Status: COMPLETED ·Phase: PHASE4
-
Rivaroxaban Post-Transradial Access for the Prevention of Radial Artery Occlusion
NCT03630055 ·Status: TERMINATED ·Phase: PHASE3
-
Assessment of the Incidence of Hemorrhagic and Ischemic Events in Post-angioplasty in Anticoagulated Coronary Patients with Atrial Fibrillation
NCT05068414 ·Status: COMPLETED
-
Optimized Antithrombotic Therapy of Acute Myocardial Infarction With Left Ventricular Mural Thrombus
NCT03415386 ·Status: UNKNOWN ·Phase: PHASE4
-
Anti Ischemic Effects of Abciximab in Angioplasty and Stenting Patients
NCT00379418 ·Status: COMPLETED
-
Thrombectomy in ST Elevation Myocardial Infarction, an Individual Patient Meta-analysis
NCT02552407 ·Status: COMPLETED