Which blood thinner works best after heart device implant? new trial aims to find out
NCT ID NCT03568890
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares two approaches—short-term anticoagulation (stronger blood thinners) versus antiplatelet therapy (milder blood thinners)—to prevent clots on a device placed in the heart's left atrial appendage. The trial involves 510 adults who have had this procedure. The goal is to see which strategy better reduces device thrombosis, stroke, and bleeding over 60 days.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Blood thinners (rivaroxaban, dabigatran, apixaban, edoxaban, clopidogrel, or low-dose aspirin)
- What this could lead to
- If it works, this could show that short-term blood thinners are better at preventing dangerous clots on the device after a heart procedure, reducing stroke risk.
- What could go wrong
- This is a phase 4 trial, so the drugs are already approved, but the best strategy for this specific use is still unknown. Results may not apply to all patients or devices.
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
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
About 510 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Sep 2018
- Expected to finish
-
Sep 2030
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Accepted
You do not need to have the condition being studied to take part.
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: * Successful transcatheter LAAC with any approved device * Age≥18 years old Exclusion Criteria: * Absolute contraindications for anticoagulation therapy * Absolute contraindications for antiplatelet therapy * End-stage renal disease (CrCl \<15 ml/min) * Recent percutaneous revascularization with drug-eluting stents requiring dual antiplatelet therapy * Prior intracranial hemorrhage * Contraindications for TEE * Severe pericardial effusion within the first 24 hrs following LAAC * Major/life-threatening bleeding event within the month prior to LAAC * Multiple bleeding events (minor or major) within the month prior to LAAC * Major/life-threatening bleeding within the first 24 hrs following LAAC
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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
-
Josep Rodes-Cabau
Québec, Quebec, G1V 4G5, Canada
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