Phase
Condition
Chest Pain
Cardiac Disease
Dysrhythmia
Treatment
Amulet™ 2 Left Atrial Appendage (LAA) Occluder
Clinical Study ID
Ages > 18 All Genders
Study Summary
Eligibility Criteria
Inclusion
Inclusion Criteria:
Paroxysmal, persistent, permanent or long-term/longstanding persistent non-valvularAF and has not been diagnosed with rheumatic mitral valve disease
CHA2DS2-VASc score of ≥2 for males or ≥3 for females
Has an appropriate rationale to seek a non-pharmacologic alternative to oralanticoagulation
Subject is eligible to stop anticoagulation if the LAA is sealed based on theimplanting physician's opinion
Subject is able to comply with the protocol defined pharmacologic regimen followingAmulet 2 device implant (as described in Section 6.5)
Subject is able to understand and willing to provide written informed consent toparticipate in the clinical investigation
Subject is able and willing to return for required follow-up visits and protocolrequired clinical investigation activities
18 years of age or older, or the age of legal consent
Exclusion
Exclusion Criteria:
Required to take P2Y12 platelet inhibitor beyond 6 months when Amulet 2 LAA Occluderimplant procedure would occur
Is considered at high risk for general anesthesia in the opinion of the Investigatoror based on past adverse reaction(s) requiring medical intervention or whichresulted in prolongation of hospital stay
Atrial septal defect or patent foramen ovale repair or occluder
Implanted with a mechanical valve prosthesis
Subject anatomy will not accommodate or is contraindicated for transesophagealechocardiography probe use (e.g., presence of esophageal varices, esophagealstricture, or history of esophageal cancer), or subject has experienced adverseevents related to transesophageal echocardiography acquisition or has refusedtransesophageal echocardiography acquisition in the past
Underwent any cardiac or non-cardiac intervention or surgery within 30 days prior towhen Amulet 2 device implant procedure would occur (any intervention or surgery thatutilized anesthesia, anesthetic, or sedation)
Underwent catheter ablation for AF or atrial flutter within 60 days prior to whenAmulet 2 device implant procedure would occur
Inpatient hospitalization due to clinical event or other sequelae within the past 7days (i.e., not related to planned clinical study procedure or assessments)
Subject is planning any cardiac or non-cardiac intervention or surgery within 60days after when Amulet 2 device implant procedure would occur (any intervention orsurgery that utilized anesthesia, anesthetic, or sedation), except for study relatedactivities
Inferior vena cava filter present
Left ventricular ejection fraction ≤30% (per most recent assessment)
Experienced stroke or transient ischemic attack within 90 days prior to when Amulet 2 device implant procedure would occur
Experienced myocardial infarction (with or without intervention) within 90 daysprior to when Amulet 2 device implant procedure would occur
New York Heart Association (NYHA) Class IV Congestive Heart Failure
Known symptomatic carotid disease (defined as > 50% lumen diameter narrowing on CTA,MRA, or TCD with symptoms of ipsilateral transient or visual TIA evidenced byamaurosis fugax, ipsilateral hemispheric TIAs or ipsilateral stroke); if subject hasa history of carotid stent or endarterectomy the subject is eligible if there is < 50% lumen diameter narrowing
Underwent prior attempted endocardial, epicardial, or surgical LAA closure orocclusion, defined as deployment of a device or surgical procedure whethersuccessful or unsuccessful
Reversible cause of AF (i.e., secondary to thyroid disorders, acute alcoholintoxication, trauma, recent major surgical procedures)
History of idiopathic or recurrent venous thromboembolism within the past 5 years
Thrombocytopenia (defined as < 50,000 platelets per microliter (<50 x 109/L) oranemia (defined as hemoglobin < 10 g/dL) requiring transfusions
Known hypersensitivity to any portion of the device material or individualcomponents of the Amulet 2 device (e.g., nickel allergy)
Actively enrolled in, or plans to enroll in, a concurrent clinical investigation inwhich the active treatment arm may confound the results of the VERITAS Study. Eachinstance must be brought to the attention of the Sponsor to determine eligibility.
Is pregnant or breastfeeding, or pregnancy is planned during the course of theinvestigation
Active endocarditis or other infection producing bacteremia
Transient case of AF (i.e., never previously detected, provoked/induced by surgicalor catheter manipulations, etc.)
Severe renal failure (estimated glomerular filtration rate <30 ml/min/1.73m2) or onchronic dialysis
Life expectancy is less than 2 years in the opinion of the Investigator
Presence of other anatomic or comorbid conditions, or other medical, social, orpsychological conditions that, in the Investigator's opinion, could limit thesubject's ability to participate in the clinical investigation or to comply withfollow up requirements, or impact the scientific soundness of the clinicalinvestigation results.
Anatomical Exclusion Criteria:
Intracardiac thrombus
Existing circumferential pericardial effusion >2 mm
Mitral valve stenosis, defined as a mitral valve area of <1.5 cm2
Inter-atrial communication (PFO/ASD with right to left shunt, if TEE performed) withan atrial septal aneurysm (excursion >15 mm or length ≥15 mm; excursion defined asmaximal protrusion of the atrial septal aneurysm beyond the plane of the atrialseptum) or large shunt (i.e., during Valsalva maneuver ≥20 bubbles of right-to-leftshunt within 3 cardiac cycles after contrast media enters the right atrium, if TEEperformed)
Complex atheroma of the descending aorta and/or aortic arch, defined as plaque >4 mmin thickness, plaque ulceration, and/or mobile lesions
Cardiac tumor
LAA anatomy that cannot accommodate the Amulet 2 device, as per manufacturer's IFU (i.e., the LAA size must be within the sizing chart of the Amulet 2 device)
Placement of the device would damage or interfere with the function of anyintracardiac or intravascular structure
Study Design
Connect with a study center
Cliniques Universitaires Saint Luc
Brussels,
BelgiumSite Not Available
Hôpital Civil Marie Curie
Lodelinsart,
BelgiumSite Not Available
Vancouver General Hospital (U of BC)
Vancouver, British Columbia
CanadaSite Not Available
Institut de Cardiologie de Montreal (Montreal Heart Inst.)
Montreal, Quebec
CanadaSite Not Available
Skejby University Hospital
Arhus,
DenmarkSite Not Available
Rigshospitalet
Copenhagen,
DenmarkSite Not Available
CHU Gabriel Montpied
Clermont-Ferrand, Auvergn
FranceSite Not Available
Institute Cardio. Paris-Sud - Institut Jacques Cartier
Massy,
FranceSite Not Available
Cardioangiologisches Centrum am Bethanien Krankenhaus
Frankfurt, Hesse
GermanySite Not Available
Deutsches Herzzentrum der Charité
Berlin,
GermanySite Not Available
Eduardus Hospital
Köln,
GermanySite Not Available
Universitätsklinikum Schleswig-Holstein - Campus Lübeck
Lübeck,
GermanySite Not Available
Heinrich-Braun-Klinikum gemeinnützige gGmbH Standort Zwickau
Zwickau,
GermanySite Not Available
Ospedale San Raffaele
Milano,
ItalySite Not Available
Slaskie Centrum Chorob Serca
Zabrze,
PolandSite Not Available
Hospital Clínic de Barcelona
Barcelona,
SpainSite Not Available
Hospital Universitari de Bellvitge
L'Hospitalet De Llobregat,
SpainSite Not Available
Hospital Clinico San Carlos
Madrid,
SpainSite Not Available
Hospital Universitario de Salamanca
Salamanca,
SpainSite Not Available
Center Inselspital Bern
Bern,
SwitzerlandSite Not Available
Arizona Arrhythmia Research Group
Phoenix, Arizona 85016
United StatesSite Not Available
Arrhythmia Research Group
Jonesboro, Arkansas 72401
United StatesActive - Recruiting
Baptist Medical Center
Jacksonville, Florida 32207
United StatesSite Not Available
AdventHealth Orlando
Orlando, Florida 32803
United StatesSite Not Available
Northside Hospital
Atlanta, Georgia 30342
United StatesSite Not Available
Kansas City Cardiac Arrhythmia Research Foundation
Overland Park, Kansas 66211
United StatesSite Not Available
Providence Hospital
Southfield, Michigan 48075
United StatesSite Not Available
Mayo Clinic
Rochester, Minnesota 55905
United StatesSite Not Available
CHI Health Creighton University Medical Center-Bergan Mercy
Omaha, Nebraska 68124
United StatesSite Not Available
Mount Sinai
New York, New York 10019
United StatesSite Not Available
New York University Hospital
New York, New York 10016
United StatesSite Not Available
Roper Hospital
Charleston, South Carolina 29401
United StatesSite Not Available
Trident Medical Center
Charleston, South Carolina 29406
United StatesSite Not Available
Vanderbilt Heart & Vascular Institute
Nashville, Tennessee 37232
United StatesSite Not Available
Texas Cardiac Arrhythmia
Austin, Texas 78705
United StatesSite Not Available
Baylor All Saints Medical Center at Fort Worth
Fort Worth, Texas 76104
United StatesSite Not Available
Vital Heart and Vein
Humble, Texas 77338
United StatesSite Not Available
The Heart Hospital Baylor Plano
Plano, Texas 75093
United StatesSite Not Available
Heart Rhythm Associates
Shenandoah, Texas 77380
United StatesSite Not Available
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