Heart procedure may offer stroke prevention for patients who Can't take blood thinners
NCT ID NCT03111654
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This pilot study tested a procedure to close the left atrial appendage—a small pouch in the heart where clots often form—in 58 patients with atrial fibrillation who had a prior brain bleed and cannot take standard blood thinners. The goal was to see if this approach could reduce the risk of future strokes and other vascular events. Researchers tracked outcomes like stroke, bleeding, and functional status over time.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- percutaneous left atrial appendage closure (a procedure to seal off a small pouch in the heart)
- What this could lead to
- If successful, this approach could offer a safe way to prevent strokes in people with atrial fibrillation who cannot use standard blood thinners because of a past brain bleed.
- What could go wrong
- This is a small pilot study with only 58 participants and no comparison group, so results may not apply broadly. The procedure itself carries risks like bleeding or infection.
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
-
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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58 people
The number who actually took part.
- Started
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Jul 2016
- Finished
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Oct 2017
- 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.
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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 aged 18 years or older * Affiliation to a social security scheme * Non-valvular, paroxysmal, persistent or permanent atrial fibrillation * CHA2DS2-VASc greater than or equal to 2 * History of intracranial haemorrhage: Intra-parenchymal hematoma, subacute or chronic subcutaneous hematoma And * Patients having benefited from the percutaneous closure of the auricle at the University Hospital of Amiens * Either patient admitted to the CHU of Amiens in neurology, neurosurgery or geriatrics for intracranial haemorrhage, who received standard medical treatment for the comparison group. Exclusion Criteria: * CHADS2VASC2 less than 2 * Extradural hematoma * Arachnoidal haemorrhage by rupture of aneurysm * Haemorrhagic transformation of ischemic stroke * Other indication of anticoagulation than FA * Modified Rankin scale greater than 4 following intracranial hemorrhage. * Early death, in the month following the onset of intracranial hemorrhage.
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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
-
CHU Amiens Picardie
Amiens, Picardie, 80054, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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