Left Atrial Appendage Closure in Patients With Non-valvular Atrial Fibrillation and End-stage Chronic KIDNEY Disease

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorProf. Dr. med. Ingo Eitel

About this trial

In the proposed event driven trial, LAA closure devices will be compared in a 1:1 randomization to best medical care in AF patients at high risk of stroke and bleeding with ESKD. The trial will allow the use of the CE marked and clinically used LAA device Amplatzer Cardiac Plug and/or Amulet and all approved medical therapies in AF patients with ESKD including vitamin-K antagonists (VKA), NOACs as well as antiplatelet agents or no anticoagulation in excessive bleeding risk.

Eligibility criteria

Qualifiers

Age ≥ 18 years

Ability to give informed consent

Documented NVAF (paroxysmal, persistent, or permanent)

CHA2DS2VASc risk score ≥2

Disqualifiers

Absolute contraindication to aspirin and/or clopidogrel

Comorbidities other than AF requiring chronic (N)OAC therapy e.g. mechanical heart valve prosthesis

Present LAA thrombus

Mobile aortic atheroma

Trial design

Treatments tested in this trial

  • Left Atrial Appendage closure

Treatment groups

430 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Prof. Dr. med. Ingo Eitel

Lead sponsor

University of Luebeck

Sponsor institution