Left atrial appendage closure: The WATCHMAN FLX Pro LAAC Technology is intended to prevent thrombus embolization from the left atrial appendage and reduce the risk of life-threatening bleeding events in adult patients with non-valvular atrial fibrillation who are eligible for anticoagulation therapy or who have a contraindication to anticoagulation therapy.
The VersaCross Connect™ LAAC Access Solution is indicated for the percutaneous introduction of various types of cardiovascular catheters and guidewires to all heart chambers, including the left atrium via transseptal perforation / puncture.
Study summary
The WATCHMAN FLX Pro European registry is intended to gather real world clinical data for patients undergoing left atrial appendage closure (LAAC) with the WATCHMAN FLX™ Pro device. In a subregistry with approximately 300 patients, it is intended to use the VersaCross Connect™ LAAC Access Solution.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
1. Subject is attempted to be treated with the WATCHMAN FLX™ Pro LAAC device.
2. Subject has non-valvular atrial fibrillation (i.e., atrial fibrillation in the absence of moderate or greater mitral stenosis or a mechanical heart valve) and is clinically indicated for a WATCHMAN FLX™ Pro LAAC device, per the Instructions for Use (IFU).
3. Subject or legal representative who are willing and capable of providing informed consent.
4. Subject is able and willing to return for required follow-up visits and examinations.
5. Subject whose age is 18 years or above, or who is of legal age to give informed consent specific to state and national law.
Exclusion Criteria:
1. Subject has a documented life expectancy of less than 12 months.
2. Subject who is currently enrolled in another investigational study or registry except when the subject is participating in a mandatory governmental registry, or a purely observational registry with no associated treatments.
3. Intracardiac thrombus is present.
4. An atrial septal defect repair or closure device or a patent foramen ovale repair or closure device is present.
5. The LAA anatomy will not accommodate a Closure Device.
6. Subject has a known hypersensitivity or contraindications according to IFU.
7. Subject is of childbearing potential and is, or plans to become, pregnant during the time of the study.
Primary outcome measure(s)
Number of participants with a safety event treated with the WATCHMAN FLX Pro — Between the time of procedure and within 7 days following the procedure or by hospital discharge, whichever is later Proportion of subjects with one or more of the following events between the time of procedure and within 7 days following the procedure or by hospital discharge, whichever is later: all-cause death, ischemic stroke, systemic embolism, or device or procedure related events requiring open cardiac surgery or major endovascular intervention such as pseudoaneurysm repair, AV fistula repair, or other major endovascular repair.
Percutaneous catheter drainage of pericardial effusions, snaring of an embolized device, thrombin injection to treat femoral pseudoaneurysm and minor nonsurgical treatments of access site complications are excluded from this endpoint.
Number of participants with a safety event treated with the VersaCross Connect™ LAAC Access Solution — Between the time of procedure and within 7 days following the procedure or by hospital discharge, whichever is later Proportion of subjects with one or more of the following events between the time of procedure and within 7 days following the procedure or by hospital discharge, whichever is later:
For all enrolled subjects, who had an attempt to insert the VersaCross Connect™ LAAC Access Solution device, the composite rate of all-cause death, all stroke, systemic embolism, pericardial effusion resulting in interventions\*, and ISTH major bleeding.
\*Pericardial effusion/tamponade requiring pericardiocentesis or surgery to treat
Number of participants with a successful VersaCross Connect™ LAAC Access Solution treatment — Completion of transseptal puncture VersaCross Connect™ LAAC Access Solution acute procedural success: Acute Procedural Success is defined as transseptal puncture success (VersaCross RF-wire crossing into left atrium).
Trial sites (20)
Facility
City
Region
Status
Aarhus University Hospital
Aarhus
Denmark
Recruiting
Rigshospitalet Copenhagen
Copenhagen
Denmark
Recruiting
Herz-und Diabeteszentrum Nordrhein-Westfalen
Bad Oeynhausen
Germany
Recruiting
Charite, Campus Benjamin Franklin
Berlin
Germany
Recruiting
Kath Krankenhaus St Johann Nepomuk
Erfurt
Germany
Recruiting
Asklepios Klinik Saint Georg
Hamburg
Germany
Recruiting
Asklepios Klinik Nord Heidberg
Hamburg
Germany
Recruiting
Asklepios Klinik Altona
Hamburg
Germany
Recruiting
Universitaetsklinikum Schleswig-Holstein
Lübeck
Germany
Recruiting
Azienda Ospedaliero Universitaria Policlinico "G. Rodolico-San Marco
Catania
Italy
Recruiting
Centro Cardiologico Monzino
Milan
Italy
Recruiting
Ospedale Sacro Cuore Don Calabria
Verona
Italy
Recruiting
Uniwersytecki Szpital Kliniczny w Poznaniu
Poznan
Poland
Recruiting
Hospital de Leon
León
Spain
Recruiting
Clinica Universidad de Navarra
Pamplona
Spain
Recruiting
Complejo Hospitalario de Pontevedra
Pontevedra
Spain
Recruiting
Complejo Hospitalario Universitario de Pontevedra
Pontevedra
Spain
Recruiting
Hospital Clinico Salamanca
Salamanca
Spain
Recruiting
University Hospital Basel
Basel
Switzerland
Recruiting
INSELSPITAL - Universitätsspital Bern
Bern
Switzerland
Recruiting
More Boston Scientific Corporation trials in Germany
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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