Optimal Antiplatelet Therapy Following Left Atrial Appendage Closure in Dialyzed Patients

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18+
SponsorNational Institute of Cardiology, Warsaw, Poland

About this trial

SAFE-LAAC CKD Trial has been designed to gather data on the most optimal strategy of antiplatelet therapy after transcatheter left atrial appendage occlusion with Amplatzer or WATCHMAN device in patients with the end-stage renal disease treated with chronic haemodialysis or peritoneal dialysis

Eligibility criteria

Qualifiers

Successful left atrial appendage occlusion with Amplatzer or WATCHMAN device within 37 days prior to randomization

End-stage renal disease treated with chronic haemodialysis or peritoneal dialysis

Participant's age 18 years or older at the time of signing the informed consent form

Participant is willing to follow all study procedures; especially the randomized antiplatelet treatment regimen

Disqualifiers

Indications to dual antiplatelet therapy other than left atrial appendage occlusion at the time of enrollment and/or predicted appearance of such indications within the duration of the trial (e.g. planned coronary revascularization)

Indications to anticoagulation at the time of enrollment and/or predicted appearance of such indications within the duration of the trial (e.g. pulmonary embolism). Does not apply to anticoagulation used during dialysis

Known allergy to clopidogrel and/or acetylsalicylic acid precluding its administration as specified by the protocol

Peridevice leak >5mm on imaging study preceding enrollment

Trial design

Treatments tested in this trial

  • short postimplantation dual antiplatelet therapy
  • extended postimplantation dual antiplatelet therapy
  • long-term treatment with a single antiplatelet agent
  • 6 months treatment with a single antiplatelet agent

Treatment groups

80 Participants
are divided into 4 treatment groups

Sponsors and collaborators

National Institute of Cardiology, Warsaw, Poland

Lead sponsor

Medical Research Agency, Poland

Collaborator