Stroke Clinical Trial
Official title:
Exclusion of the Left Atrial Appendage With the LAAx, Inc., TigerPaw™ System During Elective, Non-Endoscopic Cardiac Surgery Procedures
The dual primary safety and effectiveness outcomes for the use of The TigerPaw System include the rate of device related adverse and serious adverse events and the extent of complete exclusion of the LAA with minimal residual cavity.
The primary safety outcome is the rate of device related adverse and serious adverse events
assessed peri-operatively, and at 30 and 90 days post procedure. The primary effectiveness
outcome is the percentage of patients with complete exclusion of the left atrial appendage
assessed peri-operatively (visually), and at 90 days post procedure via transesophageal
echocardiography (TEE).
Transesophageal echocardiography will be performed intra-operatively and again at 90 days
post procedure. Intra-operative and follow-up TEE examinations will be read centrally at a
core laboratory. Any Doppler flow across the Fastener into the excluded portion of the
appendage will also be considered a failure of exclusion. The presence or absence of LAA
and/or LA thrombus will be evaluated. Patients will also be evaluated for other potential
sources of embolism, including aortic atheroma, patent foramen ovale, or other intracardiac
shunts.
Data collection will be completed at baseline, at the time of open cardiac surgery procedure
and throughout the perioperative hospitalization. Patients will be evaluated at 30 days post
surgery and at 90 days post surgery.
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