BENITIONSClinical Trial Intelligence

Exclusion of Intra-atrial Thrombus Before Catheter Ablation

N/A Completed NCT03455673

ConditionAtrial Fibrillation, Thrombi
PhaseN/A
SponsorGroupe Hospitalier de la Rochelle Ré Aunis
StatusCompleted
Enrollment3,160 participants
InterventionsATE score
Start dateSep 18, 2018
Completion dateNov 7, 2020
Results postedDec 22, 2023

Summary

Atrial fibrillation is the most frequent heart rhythm disorder. Its symptomatic forms, resistant to drug therapy, require invasive management (catheter ablation), which exposes to potentially serious complications including thromboembolic complications. Despite anticoagulant treatment, intra-atrial thrombus, which is a contraindication to catheter ablation, is detected in nearly 2 % of cases. Its diagnosis requires prior transoesophageal echocardiography, an unpleasant examination. A previous study (NCT02199080) showed that a zero ATE score, defined by no heart failure, no hypertension, no history of stroke, d-dimer \< 270 ng/mL, has a negative predictive value of 100 % for the exclusion of intra-atrial thrombus. The objective of the study is to confirm the negative predictive value, sensitivity and specificity of the ATE score for the exclusion of intra-atrial thrombus.

Number of Patients With Atrial Thrombus and a Zero ATE Score

at most 48 hours before ablation · Participants

Atrial Fibrillation2 Participants
Atrial Fibrillation816 Participants
Atrial Fibrillation27 Participants
Atrial Fibrillation2227 Participants

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