Could a simple CT scan replace an invasive procedure to detect dangerous heart clots?
NCT ID NCT07647939
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study explores whether an additional CT scan of the heart, taken right after a standard scan for lung clots, can effectively detect blood clots in the left atrial appendage (LAA) in people with atrial fibrillation. Currently, detecting these clots requires a more involved procedure called transesophageal echocardiography (TEE). The study will enroll 60 patients, half receiving an ungated CT and half a gated CT, to see how often the scans produce clear images. The results won't guide immediate treatment but could pave the way for faster, less invasive clot detection in the future.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Delayed CT scan (ungated or gated) for left atrial appendage thrombus detection
- What this could lead to
- If successful, this could allow doctors to quickly rule out dangerous blood clots using a simple CT scan, avoiding the need for a more invasive procedure.
- What could go wrong
- This is a small feasibility study with only 60 participants, so results may not apply to all patients. The extra scan may not provide clear enough images to reliably detect clots.
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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About 60 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jul 2026
An estimate. Start dates often move.
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- 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.
- Ages
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18 years and older
- 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: * Patients above 18 years of age years deemed candidates for CT angiography for pulmonary embolism by the primary team on clinical grounds and noted to be in atrial fibrillation at the time. * Room air oxygen saturation above 92% * Systolic blood pressure above 100 mm Hg * Respiratory rate less than 24 breaths/min Exclusion Criteria: * Inability to personally give informed consent * Pregnant or breastfeeding individuals * Stroke like symptoms * ECG criteria for ischemia or infarction * Heart rate \<40 or \> 120 bpm (inclusive) or 3rd degree heart block * Unable to lie flat for at least 10 minutes * Unable to follow simple commands * Northwell Health Employees. * Non-English-speaking patients
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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North Shore University Hospital
Manhasset, New York, 11030, United States
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