Design and Rationale of the Swiss-Apero Randomized Clinical Trial: Comparison of Amplatzer Amulet vs Watchman Device in Patients Undergoing Left Atrial Appendage Closure

被引:0
作者
Roberto Galea
Federico De Marco
Adel Aminian
Nicolas Meneveau
Frederic Anselme
Christoph Gräni
Adrian T. Huber
Emmanuel Teiger
Xavier Iriart
Marco Angelillis
Nicolas Brugger
Alessandro Spirito
Noé Corpataux
Anna Franzone
Pascal Vranckx
Urs Fischer
Giovanni Pedrazzini
Francesco Bedogni
Stephan Windecker
Lorenz Räber
Marco Valgimigli
机构
[1] Bern University Hospital,Department of Cardiology
[2] University of Bern,Department of Cardiology
[3] IRCCS Policlinico San Donato,Department of Cardiology
[4] Centre Hospitalier Universitaire de Charleroi,Department of Cardiology
[5] Besancon University Hospital,Department of Diagnostic, Interventional and Pediatric Radiology
[6] EA3920,Department of Cardiology
[7] University of Burgundy Franche-Comté,Department of Pediatric and Adult Congenital Cardiology
[8] University Hospital of Rouen,Department of Advanced Biomedical Sciences
[9] Bern University Hospital,Department of Cardiology and Critical Care Medicine
[10] University of Bern,Faculty of Medicine and Life Sciences
[11] Henri-Mondor Hospital,Department of Neurology
[12] Public Assistance Hospitals of Paris,Department of Biomedical Sciences
[13] Hôpital Cardiologique du Haut- Lévêque,undefined
[14] Cardiac Thoracic and Vascular Department,undefined
[15] University Federico II University,undefined
[16] Hartcentrum Hasselt,undefined
[17] Jessa Ziekenhuis,undefined
[18] Hasselt University,undefined
[19] Bern University Hospital,undefined
[20] University of Bern,undefined
[21] Cardiocentro Ticino,undefined
[22] University of Italian Switzerland,undefined
来源
Journal of Cardiovascular Translational Research | 2021年 / 14卷
关键词
Left atrial appendage closure; Randomized clinical trial; Cardiac computed tomography angiography; Amulet; Watchman; Watchman FLX;
D O I
暂无
中图分类号
学科分类号
摘要
Residual or newly acquired leaks are routinely appraised after left atrial appendage closure (LAAC). The Watchman and the Amulet are the two most frequently used devices for LAAC but no randomized study has so far assessed their comparative leak rates after intervention. The “Comparison of Amplatzer Amulet vs Watchman devices in patients undergoing left atrial appendage closure” (Swiss-Apero, clinicaltrial.gov NCT03399851) is an academic-sponsored multicenter, randomized clinical trial comparing Amulet versus Watchman/FLX devices among patients undergoing a clinically indicated LAAC. The study is designed to assess the superiority of Amulet vs. Watchman/FLX in terms of leaks detected by cardiac computed tomography angiography (CCTA) at 45 days (primary endpoint) and 13 months (secondary endpoint) after intervention by an imaging Core Laboratory. The Swiss-Apero study is the first randomized clinical trial comparing Amulet and Watchman/FLX with respect to the prevalence of post-procedural leak as assessed with CCTA.
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页码:930 / 940
页数:10
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  • [1] Wolf PA(1996)Secular trends in the prevalence of atrial fibrillation: the Framingham Study American Heart Journal 131 790-795
  • [2] Benjamin EJ(2014)Comparison of the efficacy and safety of new oral anticoagulants with warfarin in patients with atrial fibrillation: a meta-analysis of randomised trials Lancet 383 955-962
  • [3] Belanger AJ(2014)Physician practices regarding contraindications to oral anticoagulation in atrial fibrillation: findings from the Outcomes Registry for Better Informed Treatment of Atrial Fibrillation (ORBIT-AF) registry American Heart Journal 167 601-609 e601
  • [4] Ruff CT(2019)Prevalence of extra-appendage thrombosis in non-valvular atrial fibrillation and atrial flutter in patients undergoing cardioversion: a large transoesophageal echo study EuroIntervention 15 e225-e230
  • [5] Giugliano RP(2020)EHRA/EAPCI expert consensus statement on catheter-based left atrial appendage occlusion - an update EuroIntervention 15 1133-1180
  • [6] Braunwald E(2018)Computed tomography detection and quantification of left atrial appendage residual patency as collateral finding after percutaneous closure International Journal of Cardiology 260 42-46
  • [7] O'Brien EC(2018)Left atrial appendage patency and device-related thrombus after percutaneous left atrial appendage occlusion: a computed tomography study European Heart Journal Cardiovascular Imaging 19 1351-1361
  • [8] Holmes DN(2015)Cardiac CT and echocardiographic evaluation of peri-device flow after percutaneous left atrial appendage closure using the AMPLATZER cardiac plug device Catheterization and Cardiovascular Interventions 85 306-312
  • [9] Ansell JE(2019)Comparison of cardiac computed tomography angiography and transoesophageal echocardiography for device surveillance after left atrial appendage closure EuroIntervention 15 663-670
  • [10] Cresti A(2015)Cardiac CT angiography for device surveillance after endovascular left atrial appendage closure European Heart Journal Cardiovascular Imaging 16 1198-1206