Comparison of Percutaneous Closure to Manual Compression for Hemostasis
A Randomized Comparison of Percutaneous Closure to Manual Compression for Hemostasis of Multiple Venous Access Sites Among Patients Undergoing Catheter Ablation for Atrial Fibrillation
1 other identifier
interventional
109
1 country
2
Brief Summary
This a prospective randomized trial occurring in patients undergoing routine ablation for atrial fibrillation as standard of care. The purpose of this study is to determine if using a small internal suture (or "stitch") facilitates faster times to hemostasis (stopping bleeding) after removing intravenous sheaths (special IVs that are used for ablation procedures) after an atrial fibrillation ablation procedure. The device used to place the stitch is PerClose Proglide and is an already FDA-approved technology for closing these IV sites. The study will also determine if it is safe to get up and walk sooner than what is considered typical after closing these IV sites with the PerClose device. Participants will be randomized in a 1:1 ratio to either manual compression or use of the PerClose for hemostasis at the end of the ablation procedure. The length of follow-up will be up to 30 days at routine clinical follow-up after the procedure.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable atrial-fibrillation
Started Jan 2020
Shorter than P25 for not_applicable atrial-fibrillation
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 26, 2019
CompletedFirst Posted
Study publicly available on registry
November 27, 2019
CompletedStudy Start
First participant enrolled
January 22, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 13, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
January 13, 2021
CompletedResults Posted
Study results publicly available
February 7, 2022
CompletedFebruary 7, 2022
January 1, 2022
12 months
November 26, 2019
November 15, 2021
January 7, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Time to Hemostasis
Starting from sheath pull, time (in minutes) to hemostasis will be compared between study arms.
Day 1
Secondary Outcomes (8)
Time to Ambulation
Day 1
Number of Complications
Day 30
Short-form Inguinal Pain Questionnaire Score
Day 30
Procedure Length
Day 1
Patient Satisfaction
Day 1 and Day 30
- +3 more secondary outcomes
Study Arms (2)
Percutaneous Closure
EXPERIMENTALParticipants randomized to undergo percutaneous closure with PerClose after radiofrequency ablation or cryoablation for treatment of atrial fibrillation.
Manual Compression
ACTIVE COMPARATORParticipants randomized to undergo manual compression after radiofrequency ablation or cryoablation for treatment of atrial fibrillation.
Interventions
The PerClose Proglide system will be used to deliver a suture to close the venous puncture following completion of ablation for treatment of atrial fibrillation.
Manual compression is the standard method of attaining hemostasis following ablation for treatment of atrial fibrillation. Manual compression may be performed with or without "figure of eight" suture for hemostasis at the discretion of the treating physician).
Eligibility Criteria
You may qualify if:
- undergoing elective atrial fibrillation ablation at Emory University Hospital or Emory University Hospital Midtown
You may not qualify if:
- women who are pregnant (based on standard pre-procedure pregnancy test)
- patients who are not able to ambulate pre-procedure
- patients who are unable to provide informed consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Michael S. Lloydlead
- Abbottcollaborator
Study Sites (2)
Emory University Hospital Midtown
Atlanta, Georgia, 30308, United States
Emory Clinic, Emory University Hospital
Atlanta, Georgia, 30322, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Michael lloyd
- Organization
- Emory University
Study Officials
- PRINCIPAL INVESTIGATOR
Michael Lloyd, MD
Emory University
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
November 26, 2019
First Posted
November 27, 2019
Study Start
January 22, 2020
Primary Completion
January 13, 2021
Study Completion
January 13, 2021
Last Updated
February 7, 2022
Results First Posted
February 7, 2022
Record last verified: 2022-01
Data Sharing
- IPD Sharing
- Will not share