‘Floating lotus’ sign spotted: could prevent unnecessary procedure cancellations in AFib patients
NCT ID NCT07439731
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at 172 people with atrial fibrillation who had a heart procedure guided by a special ultrasound. Researchers found a common harmless imaging artifact, called the 'Floating Lotus' sign, that can look like a dangerous blood clot. By learning to tell the difference, doctors can avoid canceling procedures or changing blood thinners unnecessarily.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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172 people
The number who actually took part.
- Started
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Jan 2024
- Finished
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Dec 2024
- Lead sponsor
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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.
Who is studied
The study population was derived from patients with atrial fibrillation who consecutively underwent intracardiac echocardiography (ICE)-guided catheter ablation and/or left atrial appendage occlusion (LAAO) between January and December 2024 at three tertiary medical centers in China.
- Ages
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Children (under 18), adults (18 to 64) and older adults (65 and over)
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients with a confirmed diagnosis of non-valvular atrial fibrillation (paroxysmal or persistent). * Completion of complete intracardiac echocardiography (ICE) imaging during the catheter ablation or left atrial appendage occlusion (LAAO) procedure. Exclusion Criteria: * Confirmed intracardiac thrombus on pre-procedural transesophageal echocardiography (TEE) or left atrial computed tomography angiography (CTA). * Significant valvular heart disease (moderate or severe stenosis/regurgitation) or a history of cardiac surgery. * Incomplete clinical or imaging data.
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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
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Shanghai Shidong Hospital, Yangpu District
Shanghai, Shanghai Municipality, 200438, China
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The First Affiliated Hospital of Naval Medical University (Shanghai Changhai Hospital)
Shanghai, Shanghai Municipality, 200433, China
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