Heart device aims to cut stroke risk in PFO patients
NCT ID NCT03309332
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at a device called the AMPLATZER PFO Occluder, which is implanted to close a hole in the heart (PFO) in people who have had a stroke. Over 1,200 participants are being followed for up to 5 years to see if the device prevents another stroke and is safe. The goal is to confirm the device works well in real-world use.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- AMPLATZER™ PFO Occluder (a device implanted to close a hole in the heart)
- What this could lead to
- If successful, this could confirm that the device effectively reduces the risk of another stroke in people with a PFO.
- What could go wrong
- This is a post-approval study, so the device is already approved. However, it may not work for everyone, and there are risks like device-related complications or serious adverse events.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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1,214 people
The number who actually took part.
- Started
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Jan 2018
- Expected to finish
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Feb 2030
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 60 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: • Subjects with a PFO who have had an ischemic stroke within the last 547 days Exclusion Criteria: * Atherosclerosis or other arteriopathy of the intracranial and extracranial vessels associated with a ≥ 50% lumen diameter supplying the involved lesion * Intra-cardiac thrombus or tumor * Documented evidence of venous thrombus in the vessels through which access to the PFO is gained * Acute or recent (within 6 months prior to consent) myocardial infarction or unstable angina * Left ventricular aneurysm or akinesis * Mitral valve stenosis or severe mitral regurgitation requiring intervention irrespective of etiology * Aortic valve stenosis (mean gradient \>40 mmHg) or severe aortic valve regurgitation * Mitral or aortic valve vegetation or prosthesis * Aortic arch plaques protruding greater than 4mm into the aortic lumen * Left ventricular dilated cardiomyopathy with depressed left ventricular ejection fraction (LVEF less than 35%) * Subjects with other source of right to left shunts, including an atrial septal defect and/or fenestrated septum * Chronic, persistent, or paroxysmal atrial fibrillation or atrial flutter * Pregnancy at the time of implant * Age less than 18 years or greater than 60 years at time of consent * Active endocarditis or other untreated infections * Organ failure (kidney, liver or lung). Kidney failure: Poor urine output of less than 1 cc/kg/hr with elevated BUN levels (above the normal reference range for the laboratory at the investigational site). Liver failure: Liver enzymes outside the normal reference range for the laboratory at the investigational site: poor liver function as assessed by elevated PT (above the normal reference range for the laboratory at the investigational site) and low total protein and albumin (below the normal reference range for the laboratory at the investigational site). Lung failure: Respiratory failure is retention of carbon dioxide more than 60 mmHg, poor oxygenation with oxygen tension less than 40 mmHg in room air or the need for assisted ventilation. * Uncontrolled hypertension defined as sustained elevated systemic blood pressure to more than 160/90 mmHg with medications * Uncontrolled diabetes defined as continued elevated glucose levels in spite of administration of insulin/levels of more than 200 mg with presence of glucose in the urine * Diagnosis of lacunar infarct probably due to intrinsic small vessel as qualifying stroke event Definition: Ischemic stroke in the distribution of a single, small deep penetrating vessel in a patient with any of the following: 1) a history of hypertension (except in the first week post stroke); 2) history of diabetes mellitus; 3) Age \>/= 50; or 4) MRI or CT shows leukoaraiosis greater than symmetric, well-defined periventricular caps or bands (European Task Force on Age-Related White Matter Changes rating scale score \> 0) * Arterial dissection as cause of stroke * Subjects who test positive with one of the following hypercoagulable states; Anticardiolipin Ab of the IgG or IgM (≥30), Lupus anticoagulant, B2-glycoprotein-1 antibodies (≥30) or persistently elevated homocysteine (\>20) * Unable to take antiplatelet therapy * Anatomy in which the AMPLATZERTM PFO Occluder device size required would interfere with intracardiac or intravascular structures such as valves or pulmonary veins * Vasculature, through which access to the PFO is gained, is inadequate to accommodate the appropriate sheath size * Malignancy or other illness where life expectancy is less than 2 years * Subjects who will not be available for follow-up for the duration of the trial * Inability to obtain Informed Consent from patient * Index stroke of poor outcome (modified Rankin score greater than 3)
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Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Allegheny General Hospital - ASRI
Pittsburgh, Pennsylvania, 15212, United States
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Ascension Texas Cardiovascular Research
Austin, Texas, 78705, United States
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Augusta University
Augusta, Georgia, 30912, United States
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Aurora Medical Group
Milwaukee, Wisconsin, 53215, United States
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Baptist Hospital East
Louisville, Kentucky, 40515, United States
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Baptist Medical Center
Jacksonville, Florida, 32207, United States
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Baylor Scott & White - The Heart Hospital Baylor Plano
Plano, Texas, 75093, United States
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Centro Cardiologico Monzino
Milan, Lombard, Italy
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Chandler Regional Medical Center
Chandler, Arizona, 85224, United States
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Charlton Memorial Hospital
Fall River, Massachusetts, 02720, United States
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Children's Hospital of Michigan
Detroit, Michigan, 48201, United States
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Cleveland Clinic Florida
Weston, Florida, 33331, United States
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Denver Heart
Denver, Colorado, 80031, United States
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Deutsches Herzzentrum Berlin
Berlin, State of Berlin, 13353, Germany
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Erlanger Medical Center
Chattanooga, Tennessee, 37922, United States
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First Coast Cardiovascular Institute
Jacksonville, Florida, 32256, United States
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Foothills Medical Centre
Calgary, Alberta, T2N 2T9, Canada
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Forsyth Medical Center
Winston-Salem, North Carolina, 27358, United States
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Geisinger Medical Center
Danville, Pennsylvania, 17822, United States
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HCA Houston Healthcare Medical Center
Houston, Texas, 77004, United States
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HCA Midwest Division, Menorah Medical Center
Overland Park, Kansas, 66209, United States
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Heart Center Research, LLC
Huntsville, Alabama, 35801, United States
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Henry Ford Hospital
Detroit, Michigan, 48084, United States
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Institut de Cardiologie de Montreal (Montreal Heart Inst.)
Montreal, Quebec, H1T 1C8, Canada
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Jewish Hospital
Cincinnati, Ohio, 45236, United States
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Johns Hopkins University Hospital
Baltimore, Maryland, 21287, United States
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Kaiser Permanente Los Angeles Medical Center
Los Angeles, California, 90027, United States
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Kaiser Sunnyside Medical Center
Clackamas, Oregon, 97015, United States
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Kantonsspital St.Gallen
Sankt Gallen, Stgalln, 9007, Switzerland
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Lexington Medical Center
West Columbia, South Carolina, 29169, United States
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Los Robles Hospital and Medical Center
Thousand Oaks, California, 91360, United States
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McLaren Health Care Corporation
Auburn Hills, Michigan, 48326, United States
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MedStar Washington Hospital Center
Washington D.C., District of Columbia, 20010, United States
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Memorial Hospital of Colorado Springs
Colorado Springs, Colorado, 80909, United States
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Mercy Hospital South
St Louis, Missouri, 63128, United States
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Minneapolis Heart Institute
Minneapolis, Minnesota, 55407, United States
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Moses H Cone Memorial Hospital
Greensboro, North Carolina, 27358, United States
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Mount Sinai Hospital
New York, New York, 10019, United States
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Mt Carmel East
Columbus, Ohio, 43213, United States
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New York Presbyterian Hospital/ Cornell University
New York, New York, 10021, United States
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Newark Beth Israel Medical Center
Newark, New Jersey, 07112, United States
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Northeast Georgia Medical Center
Gainesville, Georgia, 30501, United States
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Novant Health Heart and Vascular Research
Charlotte, North Carolina, 28204, United States
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Ochsner Medical Center
New Orleans, Louisiana, 70448, United States
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Ohio Health Research Institute
Columbus, Ohio, 43210, United States
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Ohio State University
Columbus, Ohio, 43210, United States
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Orlando Health
Orlando, Florida, 32806, United States
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Penn State Milton S Hershey Medical Center
Hershey, Pennsylvania, 17033, United States
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Pima Heart Physicians, PC
Tucson, Arizona, 85712, United States
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Prairie Education and Research Cooperative
Springfield, Illinois, 63146, United States
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Providence Heart and Vascular Institute
Portland, Oregon, 97225, United States
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Providence St. Patrick Hospital
Missoula, Montana, 59802, United States
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Ronald Reagan UCLA Medical Center
Los Angeles, California, 90095, United States
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Rush University Medical Center
Chicago, Illinois, 60612, United States
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San Diego Cardiac Center
San Diego, California, 92123, United States
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Sanford USD Medical Center
Sioux Falls, South Dakota, 57117, United States
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Santa Maria Hospital
Lisbon, Lisbon District, 1649-035, Portugal
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Scottsdale Healthcare Shea
Scottsdale, Arizona, 85260, United States
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Sentara Norfolk General Hospital
Norfolk, Virginia, 23112, United States
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South Denver Cardiology Associates PC
Littleton, Colorado, 80120, United States
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Sparrow Clinical Research Institute
Lansing, Michigan, 48912, United States
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St. Cloud Hospital
Saint Cloud, Minnesota, 56303, United States
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St. Joseph's Hospital and Medical Center
Phoenix, Arizona, 85013, United States
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St. Mary's Hospital
Duluth, Minnesota, 55805, United States
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St. Thomas Hospital
London, London, SE1 7EH, United Kingdom
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St. Vincent's Medical Center
Jacksonville, Florida, 32204, United States
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Stanford University Medical Center
Stanford, California, 94305, United States
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Stony Brook University Medical Center
Stony Brook, New York, 11790, United States
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Sutter Medical Center
Sacramento, California, 95816, United States
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Swedish Medical Center - Heart & Vascular
Seattle, Washington, 98122, United States
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TUM Klinikum - Deutsches Herzzentrum München
München, Bavaria, 80636, Germany
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Tennova Healthcare - Turkey Creek Medical Center
Knoxville, Tennessee, 37920, United States
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Toronto General Hospital
Toronto, Ontario, M5G 2C4, Canada
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TriHealth Bethesda North Hospital
Cincinnati, Ohio, 45242, United States
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Tufts Medical Center
Boston, Massachusetts, 02111, United States
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UAMS Medical Center
Little Rock, Arkansas, 72205, United States
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USC University Hospital
Los Angeles, California, 90033, United States
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University of Alabama at Birmingham
Birmingham, Alabama, 35249, United States
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University of California at San Francisco
San Francisco, California, 94143, United States
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University of Colorado Hospital
Aurora, Colorado, 80045, United States
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University of Kentucky
Lexington, Kentucky, 40536, United States
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University of Nebraska Medical Center
Omaha, Nebraska, 68198, United States
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University of Texas Health Science Center at Houston
Houston, Texas, 77074, United States
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University of Washington Medical Center
Seattle, Washington, 98195, United States
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University of Wisconsin Hospital
Madison, Wisconsin, 53792, United States
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Vancouver General Hospital
Vancouver, British Columbia, V5Z 1M9, Canada
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Washington University School of Medicine
St Louis, Missouri, 63110, United States
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WellStar Kennestone Hospital
Marietta, Georgia, 98502, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Heart hole or stroke trigger? global registry tracks who gets closure and what happens next
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