Non-valvular (NV) atrial fibrillation (AF) increases the risk of stroke by approximately fivefold. The atrial thrombi associated with AF are seen within the left atrial appendage (LAA) in most cases (\> 90%). Anticoagulation with a vitamin-K antagonist (VKA) is recommended to prevent thromboembolic complications and to resolve thrombi. Non-VKA oral anticoagulants (NOACs) have replaced the VKA for the thromboprophylaxis in patients with NVAF since 2010. Therefore, NOAC can be the excellent alternative to VKA concerning resolving preexisting LAA thrombi because of its rapid onset of action and no need of bridging with heparin. However, there is still lack of data regarding the optimal treatment for patients with AF and thrombi in LAA with NOAC. There are only several case reports of the efficacy of NOACs in resolving LAA thrombi available. Edoxaban, which has data showing efficacy and safety in thromboprophylaxis, can be the new option for treatment of patients with AF and LAA thrombi. The purpose of this study is to evaluate the efficacy of Edoxaban in resolving the LAA thrombi, which is related with nonvalvular AF.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
36
Edoxaban will be used for resolution of left atrial appendage thrombi
Keimyung University Dongsan Medical Center
Daegu, South Korea
Division of Cardiology, Department of Internal Medicine, Kyungpook National University Hospital
Daegu, South Korea
Division of Cardiology, Department of Internal Medicine, Yeungnam University Hospital
Daegu, South Korea
Division of Cardiology, Department of Internal Medicine, Daegu Catholic University Medical Center
Daegu, South Korea
Catholic University of Korea, Incheon St. Mary's hospital
Incheon, South Korea
Pusan National University Hospital
Pusan, South Korea
Korea University Anam Hospital
Seoul, South Korea
Seoul National University Hospital
Seoul, South Korea
Severance Cardiovascular Hospital
Seoul, South Korea
Seoul Samsung Medical Center
Seoul, South Korea
...and 2 more locations
complete resolution of LAA thrombi
The percentage of subjects with complete resolution of LAA thrombi
Time frame: 6 weeks
Treatment responses of thrombi
Treatment responses of thrombi: Number of participants with resolved, reduced, unchanged, enlarged thrombi or newly appeared thrombi
Time frame: 6 weeks
Ischemic stroke event
The percentage of subjects who experienced ischemic stroke
Time frame: 12 weeks
Bleeding event
The percentage of subjects who experienced bleeding event
Time frame: 12 weeks
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