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
Sponsors and collaborators
Prof. Dr. med. Ingo Eitel
Lead sponsor
University of Luebeck
Sponsor institution