New Blood-Thinner strategy aims to cut bleeding after heart device implants

NCT ID NCT07616414

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study compares a stepwise blood-thinning approach to the standard method in 424 patients with atrial fibrillation who are at high risk for stroke and need a heart device like a pacemaker. The stepwise plan involves stopping the blood thinner one day before surgery and restarting with a lower dose for a week afterward. The goal is to see if this reduces pocket hematoma (bleeding under the skin) within 30 days after surgery, while still preventing blood clots.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

edoxaban or rivaroxaban (blood thinners)

What this could lead to

If successful, this could offer a safer way to manage blood thinners around heart device surgery, reducing bleeding complications while still preventing strokes.

What could go wrong

This is an early-stage trial with only 424 participants, so results may not apply to all patients. The stepwise approach might not lower bleeding risk as expected or could increase stroke risk.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

atrial fibrillation Thromboembolism venous thromboembolism

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • Fuwai Hospital

    Beijing, Beijing Municipality, 100037, China

    Contact Phone: •••-•••-•••• Email: •••••@•••••

    Contact