Arrhythmias & electrophysiology

Rationale and design of the anticoagulant therapy after left atrial appendage closure (ATLAAC) trial

Am Heart JPublished multicenter, randomized, controlled trial

Study context

Population
Patients with atrial fibrillation who have undergone surgical left atrial appendage closure (LAAC) and remain on oral anticoagulation (OAC); patients with successful closure confirmed by cardiac CT are randomizedplanned enrollment, as of January 18th, 2025, 554 enrolled and 319 randomized · enrolled as of January 18th, 2025 554 · randomized as of January 18th, 2025 319
Participants
1,220 patients
Planned comparison
Stopping OAC is noninferior to continuing OAC after surgical LAAC in terms of the primary endpoint
Primary endpoint
first occurrence of ischemic stroke, systemic arterial embolism, or major bleeding
Follow-up
Expected mean 4 years
Methodological detailsnoninferiority hypothesis, design and rationale publication
  • Noninferiority hypothesis
  • Design and rationale publication

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

Further findings

Trial status · As of January 18th, 2025

Enrollment began
March 2024
Patients enrolled
554
Patients randomized
319
Recruitment expected to continue
≈12 months

Original publication

Rationale and design of the anticoagulant therapy after left atrial appendage closure (ATLAAC) trial. Am Heart J. Published 15 April 2025. doi:10.1016/j.ahj.2025.04.015

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