Status:

UNKNOWN

Evaluation of Prevalence and Clinical Impact of Atrial Fibrillation in Elderly Patients With Cryptogenic Stroke and High-Risk Patent Foramen Ovale

Lead Sponsor:

Asan Medical Center

Collaborating Sponsors:

Medtronic

Conditions:

Cryptogenic Stroke

High Risk Patent Foramen Ovale

Eligibility:

All Genders

60+ years

Brief Summary

The purpose of DEFENSE-ELDERLY is to identify the prevalence of AF and evaluate the clinical impact of AF in elderly ESUS patients and no other known sources of stroke besides a high-risk patent foram...

Detailed Description

The purpose of DEFENSE-ELDERLY is to identify the prevalence of AF and evaluate the clinical impact of AF in elderly ESUS patients and no other known sources of stroke besides a high-risk patent foram...

Eligibility Criteria

Inclusion

  • Patients ≥60 y/o with ESUS and PFO that is likely to have causative role (high-risk anatomical feature) (cohort A)
  • Patients ≥60 y/o with ESUS without PFO, or with non-high risk PFO (cohort B)
  • The patient or guardian agrees to the study protocol and the schedule of clinical follow-up, and provides informed, written consent, as approved by the institutional review board
  • Patients who are scheduled to have implantable cardiac monitoring

Exclusion

  • Transient ischemic attack
  • Lacunar infarction (infarction at subcortical area with a lesion diameter less than 2cm on MR)
  • Presence of complex aortic atheroma (≥4mm in plaque thickness or presence of mobile components)
  • Presence of ≥50% luminal stenosis (extra- or intracranial) in arteries supplying the ischemic area
  • Unwillingness or inability to comply with the procedures described in this protocol
  • Life expectancy \< 1 years for any non-cardiac or cardiac causes

Key Trial Info

Start Date :

October 2 2019

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

October 2 2024

Estimated Enrollment :

300 Patients enrolled

Trial Details

Trial ID

NCT04285918

Start Date

October 2 2019

End Date

October 2 2024

Last Update

February 26 2020

Active Locations (1)

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1

Asan Medical Center

Seoul, South Korea