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Investigation on Appropriate Duration of Dabigatran Use After Catheter Ablation for Paroxysmal Atrial Fibrillation in Patients With Low Thromboembolic Risk

Status
UNKNOWN
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02313584
Enrollment
464
Registered
2014-12-10
Start date
2014-12-31
Completion date
2017-09-30
Last updated
2014-12-10

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

Conditions

Atrial Fibrillation, Thromboembolism

Keywords

dabigatran

Brief summary

The purpose of this study is to investigate the appropriate duration of dabigatran use after radiofrequency catheter ablation for paroxysmal atrial fibrillation in patients with low thromboembolic risk. According to the most recent guideline, anticoagulation is recommended to continue at least 2 months after the procedure. However bleeding risk with anticoagulant is also problematic. Post-procedural thrombosis is considered due to acute inflammation or char formation at the site of ablation, and these reaction occurs mostly within 1 month after the procedure. Also, the risk of thromboembolism is low in patients with CHA2DS2-VASc score less than 1. The investigators hypothesized that dabigatran use for the first 1 month after the RFCA for patients with paroxysmal AF and low thromboembolic risk would be sufficient for efficacy and safety compared to conventional dabigatran use for 2 months.

Interventions

DRUGdabigatran
DRUGplacebo

Sponsors

Korea University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* paroxysmal AF undergoing catheter ablation * CHA2DS2-VASc score \<= 1 * informed consent

Exclusion criteria

* persistent AF * CHA2DS2-VASc score \> 2 * prior CVA * prior atnicoagulant * severe HF * abnormal liver or renal function * history of severe bleeding

Design outcomes

Primary

MeasureTime frame
The rate of thromboembolic events2 months

Contacts

Primary ContactYoung-Hoon Kim
yhkmd@unitel.co.kr82-2-920-6700

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026