Atrial Fibrillation
Conditions
Keywords
LAmbre
Brief summary
The aim of this study is to assess the efficacy, safety and performance of LAmbre left atrial appendage closure system in patients with non-valvular atrial fibrillation who cannot be treated with Warfarin.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Age\>=18, CHADS2 score\>=1 * Patients cannot be treated long-term with Warfarin * Eligible for clopidogrel and aspirin * Provide written informed consent and agree to comply with required follow-ups
Exclusion criteria
* Need to take Warfarin * Presence of rheumatic, degenerative or congenital valvular heart diseases * Early stage or paroxysmal AF * Symptomatic patients with carotid artery disease (such as carotid stenosis\>=50%) * Heart failure NYHA grade IV * Recent 30 days stroke or TIA * Presence of active sepsis or endocarditis * Cardiac tumors or other malignancy with estimated life expectancy \<2 years * Abnormal blood test; renal disfunction * LAA removed or heart implant patients * Patients have planned electrophysiological ablation or cardioversion 30 days post implantation of the LAmbre system * Patients have history of mechanical prosthesis operation * Patients who are pregnant, or desire to be pregnant during the during the study * Participation in other trials * A known allergy to nitinol * Patients will not be able to complete the trial Esophageal ultrasonic
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Ischemic stroke | One year |
| Successful sealing of the LAA | One year |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Component events | One year | death, thromboembolism, device related complication and MACCE |
| MACCE | One year | all-cause death, stroke, cardiac tamponade and renal failure |
| Complication at puncture site | One year | — |
| Device performance assessed by TEE/TTE | One year | Device migration/embolization Regurgitation Perivalvular leak |
Countries
China