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Study on the Optimal Patient Positioning During Transesophageal Echocardiography for Left Atrial Appendage Evaluation in Patients with Atrial Fibrillation

Evaluation of Optimal Transesophageal Echocardiographic Positioning to Improve Left Atrial Appendage Visualization in Atrial Fibrillation - Optimal TEE Positioning for LAA

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
JPRN
Registry ID
JPRN-jRCT1030250518
Enrollment
50
Registered
2025-11-21
Start date
2025-11-21
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Atrial fibrillation Atrial Fibrillation, Left Atrial Appendage, Left Atrial Appendage Thrombus, Transesophageal Echocardiography

Interventions

none

Sponsors

Machino Tomoko
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Participants must meet all of the following conditions: 1. Patients with atrial fibrillation (valvular or non-valvular) who are being followed at the University of Tsukuba Hospital. 2. Patients scheduled to undergo transesophageal echocardiography (TEE) either for pre-procedural assessment of left atrial appendage morphology and thrombus status prior to catheter ablation, percutaneous left atrial appendage closure, or electrical cardioversion for atrial fibrillation, or for suspected cardiogenic embolism requiring evaluation of left atrial appendage thrombus. 3. Male or female patients aged 20 years or older. 4. Patients who have received a full explanation of the study and have voluntarily provided written informed consent with adequate understanding.

Exclusion criteria

Exclusion criteria: Participants who meet any of the following conditions will be excluded from the study: 1. Patients with a prior history of left atrial appendage closure or surgical excision of the left atrial appendage. 2. Patients in whom a definite thrombus is identified in the left atrium or left atrial appendage on transesophageal echocardiography. 3. Patients deemed inappropriate for study participation at the discretion of the principal or co-investigator.

Design outcomes

Primary

MeasureTime frame
Severity of left atrial appendage blood stasis in each position (left lateral decubitus, supine, right lateral decubitus, and semi-sitting position).

Secondary

MeasureTime frame
The following items on each position (left lateral decubitus, supine, right lateral decubitus, and semi-sitting position). 1. Accuracy of left atrial appendage (LAA) visualization. 2. Hemodynamic and functional parameters of the LAA (LAA flow velocity, LAA wall motion velocity, and LAA ejection fraction).

Contacts

Public ContactTomoko Machino

Department of Cardiology, Institute of Medicine, University of Tsukuba

tomoko-machino@md.tsukuba.ac.jp+81-29-853-3143

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026