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Left Atrial Appendage OccluderLAAODENCT05014477

Therapy Strategies After LAA Occluder Device Embolization

An observational study of Left Atrial Appendage Occluder and Device Embolisation, run by Cardiovascular Center Frankfurt at 1 site in Germany.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The investigators thought to evaluate risk factors, therapeutic approaches and outcomes after left atrial appendage occluder device embolization (LAAO, either surgical or interventional). Read more about this study

Who is it for?
Ages 18 to 100 years
What is being tested?
Removal or leaving of LAA occluders
Type of treatment
Surgery or procedure
How many people
400 participants
Where
1 siteGermany
Study dates
30 Sep 2020to 31 Dec 2023
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 100 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients after interventional or surgical left atrial appendage occlusion with device embolization

Who may be able to join

  • Patients after interventional or surgical left atrial appendage occlusion with device embolization

Who cannot join

  • n/a

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • CardioVascular Center (CVC) Frankfurt

    Frankfurt on the Main, Hesse, 60389

Other trials in Germany

About this study

Official title: Device Embolization After Percutaneous Left Atrial Appendage Occlusion: Risk Factors, Approaches and Outcomes

The investigators thought to evaluate risk factors, therapeutic approaches and outcomes after left atrial appendage occluder device embolization (LAAO, either surgical or interventional).

Read the detailed description

The global burden of atrial fibrillation (AF) is high, and AF represents a major cause of morbidity, mortality and health-care expenditure. Thromboembolic stroke may be one of the fatal complications and oral anticoagulation has been the mainstay therapy for decades to mitigate stroke risk. However, in poor candidates for long-term anticoagulation (i.e. high bleeding risk, poor drug tolerance or adherence), non- pharmacological stroke prevention with percutaneous left atrial appendage occlusion (LAAO) is a considerable treatment option.

Occluders are implanted into the left atrial appendage (LAA) but they might dislocate and therefore embolize subsequently. In this case, surgical or percutaneous removal of the device may be indicated. Depending on the patient's status, implanting another device can be an alternative to returning to anticoagulation.

Being tested
Removal or leaving of LAA occluders
Keywords
left atrial appendage occluder, device embolization, therapy strategy, risk factors

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Removal or leaving of LAA occludersProcedure or surgery

    After LAA device embolization there are different approaches to dealing with the occluder dislocation. The aim is to find out which way leads to the best outcomes.

Study groups in NCT05014477
Study groupRoleWhat they receive
Patients experiencing device embolization after left atrial appendage occlusionDevice embolization following either surgical or interventional left atrial appendage occlusion
Receives: Procedure: Removal or leaving of LAA occluders

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Procedural mortality

    all-cause mortality during the index procedure, any procedure-related death within 30days or during in-hospital stay for the index procedure (if>30days)

    Measured: In-hospital stay, assessed up to 30 days

  2. Need for cardiac surgery

    Measured: In-hospital stay, assessed up to 30 days

  3. Catheter-based retrieval of LAA Occluder

    peri-procedural device removal

    Measured: up to 5 years (after device implantation)

Secondary outcomes (2)
  1. Further complications

    Any other complications after device embolization (i.e., thromboembolic events, circulatory problems, CPR etc.)

    Measured: up to 5 years (after device implantation)

  2. Risk factors

    Favoring conditions for LAAO device dislocation (e.g., anatomical risk factors, risk factors related to the initial procedure)

    Measured: up to 30 days (after device implantation)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Aug 2021
  2. Study start30 Sep 2020
  3. Primary completion30 Sep 2021
  4. Study completion31 Dec 2023 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Retrospective
Enrolment
400 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05014477
Sponsor's protocol ID
CVC-003
Acronym
LAAODE
Status last verified
Jul 2022
First submitted
12 Aug 2021
Last updated
26 Jul 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Eppinger S, Piayda K, Galea R, Sandri M, Maarse M, Guner A, Karabay CY, Pershad A, Ding WY, Aminian A, Akin I, Davtyan KV, Chugunov IA, Marijon E, Rosseel L, Schmidt TR, Amabile N, Korsholm K, Lund J, Guerios E, Amat-Santos IJ, Boccuzzi G, Ellis CR, Sabbag A, Ebelt H, Clapp B, Assa HV, Levi A, Ledwoch J, Lehmann S, Lee OH, Mark G, Schell W, Della Rocca DG, Natale A, de Backer O, Kefer J, Esteban PP, Abelson M, Ram P, Moceri P, Galache Osuna JG, Alvarez XM, Cruz-Gonzalez I, de Potter T, Ghassan M, Osadchiy A, Chen W, Goyal SK, Giannini F, Rivero-Ayerza M, Afzal S, Jung C, Skurk C, Langel M, Spence M, Merkulov E, Lempereur M, Shin SY, Mesnier J, McKinney HL, Schuler BT, Armero S, Gheorghe L, Ancona MBM, Santos L, Mansourati J, Nombela-Franco L, Nappi F, Kuhne M, Gaspardone A, van der Pals J, Montorfano M, Fernandez-Armenta J, Harvey JE, Rodes-Cabau J, Klein N, Sabir SA, Kim JS, Cook S, Kornowski R, Saraste A, Nielsen-Kudsk JE, Gupta D, Boersma L, Raber L, Sievert K, Sievert H, Bertog S. Embolization of percutaneous left atrial appendage closure devices: Timing, management and clinical outcomes. Cardiovasc Revasc Med. 2024 Jul;64:7-14. doi: 10.1016/j.carrev.2024.02.014. Epub 2024 Feb 28.

    PubMed 38448258

Questions about this trial

What is this clinical trial studying?

An observational study of Left Atrial Appendage Occluder and Device Embolisation, run by Cardiovascular Center Frankfurt at 1 site in Germany.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 26 Jul 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Procedural mortality (time frame: In-hospital stay, assessed up to 30 days). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05014477, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Jul 2022; AzTrials last refreshed its copy on 3 Nov 2026.

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