Atrial Fibrillation
Conditions
Keywords
atrial fibrillation, left atrial appendage, stroke prevention, occluder, Watchman device, Amplatzer Cardiac Plug
Brief summary
The first Russian registry presents data from two hundred consecutive patients with nonvalvular atrial fibrillation, who undergone left atrial appendage occlusion (LAAO) using the Watchman device and the Amplatzer cardiac plug. This government-funded catheter-based LAAO program was started in September 2015 and was completed in December 2017. Data collection was finished in December 2018. Five clinics agreed to participate in the study. Patients' baseline characteristics, procedure, and follow up data were collected according to established registry protocol. Patients were followed at 45 days, 3, 6 and 12 months after enrollment. At each follow-up visit, the data regarding clinical events and healthcare utilization was collected.
Interventions
Catheter-based implantation of left atrial appendage occluder
Sponsors
Study design
Eligibility
Inclusion criteria
* age ≥18 years nonvalvular atrial fibrillation, * CHA2DS2VASc ≥2, * high risk of hemorrhagic events, * non-compliance with pharmacological anticoagulant therapy
Exclusion criteria
* significant mitral valve disease, * left ventricular ejection fraction \<35%, * the tendency to systemic thrombosis, * severe co-morbidities
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Procedure-related major adverse events (pericardial effusion, cardiac tamponade, device embolization, procedure/device-related death) | 12 months | — |
| The composite of thromboembolic events, device thrombosis, hemorrhagic events, unexplained death | 12 months | Primary efficacy endpoint |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Procedure success rate | intraprocedural | successful left atrial appendage occluder implantation rate |
| Peridevice leakage | 6 months | incidence rates of significant (≥5mm) leakage |