Atrial Fibrillation
Conditions
Keywords
Left Atrial Appendage Closure
Brief summary
The objective of this study is to demonstrate safety and effectiveness using a percutaneous Delivery System of the Laminar Left Atrial Appendage Closure System to treat patients with NVAF to reduce the risk of thromboembolism from the left atrial appendage (LAA).
Interventions
Closure or occlusion of the left atrial appendage to reduce the risk of thromboembolism in patients with NVAF
Sponsors
Study design
Eligibility
Inclusion criteria
* 1\. Subject must have a documented history of paroxysmal, persistent or permanent nonvalvular atrial fibrillation (AF). * 2\. Subject must be ≥18 years of age. * 3\. Subject has a calculated CHA2DS2-VASc score of 2 or greater. * 4\. Subject must be clinically stable on warfarin (or other anticoagulant) therapy for a minimum of three months. * 5\. Subject must have at least two International Normalized Ratios (INRs); 2-3, if on Warfarin. * 6\. Subject is eligible for the defined protocol pharmacologic regimen of anticoagulation and antiplatelet therapy.
Exclusion criteria
* 1\. Subject who requires anticoagulation for a condition other than AF. * 2\. Subject with a New York Heart Association (NYHA) classification equal to IV. * 3\. Subject with a history of or implanted atrial septal defect (ASD) device or patent foramen ovale (PFO) device that would interfere with the investigational device placement. * 4\. Subject with valvular disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Freedom from device or procedure related serious adverse events | 7 days |
| Confirmation of functional LAA closure as defined by residual peri-device flow ≤ 5mm per TEE | 45 days |
Secondary
| Measure | Time frame |
|---|---|
| Absence of all-cause mortality, major bleeding, ischemic stroke, or systemic embolism | 45 days and 6 months |
Countries
Georgia, Paraguay