Arrhythmias & electrophysiology

Catheter-based left atrial appendage CLOSURE in patients with atrial fibrillation at high risk of stroke and bleeding as compared to best medical therapy: Rationale and design of the prospective randomized CLOSURE-AF trial

Am Heart JPublished prospective, multicenter, randomized clinical Left atrial appendage CLOSURE in patients with Atrial Fibrillation at high risk of stroke and bleeding compared to medical therapy (CLOSURE-AF) trial

Study context

Population
Patients with atrial fibrillation (AF) at high risk of stroke and with either a history of bleeding or a high estimated bleeding risk (HASBLED ≥ 3)complete study cohort enrolled by April 2025 in 42 sites
Participants
912 patients
Planned comparison
Catheter-based left atrial appendage (LAA) closure to best medical care
Primary endpoint
time to a composite of:
  • First stroke (ischemic or hemorrhagic)
  • Systemic embolism
  • Cardiovascular or unexplained death or major bleeding (Bleeding Academic Research Consortium 3-5)
Methodological detailsrationale and design
  • Rationale and design

No results yet. This paper sets out the design of a trial; its results are to come.

Further findings

Enrollment · March 2018 to April 2025

First patient enrolled
March 2018
Complete study cohort enrolled by April 2025
n = 912
Sites
42

Original publication

Catheter-based left atrial appendage CLOSURE in patients with atrial fibrillation at high risk of stroke and bleeding as compared to best medical therapy: Rationale and design of the prospective randomized CLOSURE-AF trial. Am Heart J. Published 12 September 2025. doi:10.1016/j.ahj.2025.09.005

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