New heart procedure may reduce stroke risk without blood thinners
NCT ID NCT03088098
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a procedure called left atrial appendage occlusion (LAAO) against standard blood-thinning medications in 81 people with atrial fibrillation who were also getting a new heart valve (TAVI). The goal was to see if LAAO could prevent strokes and bleeding better than meds alone. Results will help doctors choose the best treatment for these high-risk patients.
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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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81 people
The number who actually took part.
- Started
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May 2016
- Finished
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Feb 2025
- 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: * Severe aortic valve stenosis with an indication for aortic valve replacement (e.g., symptomatic patient, decreased left ventricular (LV) function) * Suitable anatomy for transfemoral TAVI with the Portico Transcatheter Aortic Valve System (ileofemoral arterial diameter, annulus-coronary distance, annulus diameter) * No mobile thrombus in the LA or LAA precluding LAAO * Atrial fibrillation with a CHA2DS2-Vasc-Score \>=1. No limitation regarding the nature of atrial fibrillation (paroxysmal, permanent, persistent) Exclusion Criteria: * Pregnancy * Known intolerance to aspirin, heparin, contrast media or clinically manifest nickel allergy * Inability to provide informed consent * Mechanical heart valve or other indication for oral anticoagulation (i.e. recent pulmonary embolism) * Contraindication for oral anticoagulation * Currently participating in another trial
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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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University Hospital Zurich
Zurich, Canton of Zurich, 8091, Switzerland
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Two ways to catch a hidden heart rhythm after stroke