Comparing PFO Outcomes of the Occlutech Flex II PFO Occluder to Standard of Care PFO Occlusion
This research study is looking at a new heart device, called the Occlutech Flex II PFO Occluder, which is designed to close a small, naturally occurring hole in the heart called a PFO (Patent Foramen Ovale). Sometimes, this hole can be linked to strokes that don't have a clear cause. The study aims to see if this new device works just as well as two currently used standard devices (AMPLATZER™ PFO Occluder and Gore® Cardioform Septal Occluder) for closing the PFO. Researchers will compare how effectively it closes the hole, whether it helps prevent strokes from happening again, and if there are any serious problems related to the device or the procedure. This is important to ensure new treatments are safe and effective for patients.
At a glance
What is this study about?
This study is about a common condition found in the heart called a Patent Foramen Ovale, or PFO for short. This is a small, natural opening between the upper two chambers of the heart that most people are born with, and it usually closes shortly after birth. However, in some people, it stays open. Sometimes, if someone has had a stroke but doctors can't find another clear reason for it, an open PFO might be considered a possible cause.
In these cases, doctors might suggest a procedure to close the PFO using a special device. This study is testing a new device called the Occlutech Flex II PFO Occluder. The main goal is to see if this new device is just as good, or "non-inferior," to the devices currently used to close PFOs. Researchers will be looking at how well the new device closes the hole, if it helps stop future strokes, and if it's safe to use.
The study will involve carefully comparing the new device against existing, well-known devices. This type of research helps ensure that any new treatments offered to patients are effective and safe, providing a clear understanding of their benefits and any potential drawbacks. It's an important step in making sure people with a PFO who have had a stroke receive the best possible care.
Key takeaways
- This study compares a new device for closing a heart 'hole' (PFO) to standard devices.
- It aims to see if the new device is as good at preventing strokes and is safe.
- Participation requires you to have had a 'stroke of unknown cause' and a PFO.
- There are specific health conditions that would prevent you from joining.
- You would receive close medical monitoring if you take part.
- You can always choose to withdraw from the study at any time.
Who may be eligible?
To be part of this study, you would need to have a PFO and have experienced a stroke for which doctors haven't found another obvious cause. Doctors would confirm the PFO using a special heart scan (called a Transoesophageal Echo or TEE). The stroke would be confirmed if you had sudden brain symptoms that lasted a while, or if scans showed a new area of damage in your brain.
There are also some reasons why you wouldn't be able to join. For example, if you're under 18, or if you've had a heart attack or chest pain recently (within 6 months). Certain serious heart problems, like weak heart pumping or problems with your heart valves, would also mean you couldn't take part. If your blood pressure or diabetes is not under control, or if you have other serious health issues that might make participating difficult or risky, you'd also be excluded.
Finally, if you have other clear reasons for your stroke, such as an irregular heartbeat (atrial fibrillation), blood clots in your heart, certain severe narrowing of blood vessels, or if you couldn't take commonly prescribed blood-thinning medicines, then this study might not be suitable for you.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Have I had a stroke for which no clear cause was found?
- Do I know if I have a PFO (hole in the heart)?
- Am I 18 years old or older?
- Have I had a heart attack or severe chest pain in the last 6 months?
- Do I have any other serious heart conditions, untreated high blood pressure, or uncontrolled diabetes?
- Am I able to take blood-thinning medication like aspirin if needed?
What does participation involve?
The detailed information about what taking part involves hasn't been provided in this summary, so we can't give specific details about the number of visits, specific assessments, or medication schedule. Generally, for studies like this involving a device, you would likely have a PFO closure procedure. This would be followed by several check-up appointments over a period, which might include heart scans and discussions with the study team, to monitor the device and your health. Any medications would be precisely explained, and you would be told the total expected duration of your involvement in the study.
Potential risks and benefits
Locations (48)
- Arizona Cardiovascular Research CenterVerified postcodePhoenix, United States
- Stanford University Medical CenterVerified postcodeStanford, United States
- Los Robles Medical CenterVerified postcodeThousand Oaks, United States
- Colorado Heart and Vascular PC / St. Anthony HospitalVerified postcodeLakewood, United States
- South Denver Cardiology AssociatesVerified postcodeLittleton, United States
- Medstar Washington Hospital CenterVerified postcodeWashington D.C., United States
- Rush University Medical CenterVerified postcodeChicago, United States
- OSF Saint Francis Medical CenterVerified postcodePeoria, United States
- University of LouisvilleVerified postcodeLouisville, United States
- MaineHealthVerified postcodePortland, United States
- Tufts New England Medical CenterVerified postcodeBoston, United States
- Massachusetts General HospitalVerified postcodeBoston, United States
Common questions
What is a PFO?
A PFO (Patent Foramen Ovale) is a small, natural opening in the wall separating the upper chambers of the heart that didn't close completely after birth.
Why is this study comparing devices?
This study is comparing a new PFO closure device with existing standard devices to see if the new one is just as safe and effective at closing the hole and preventing future strokes.
What does 'cryptogenic stroke' mean?
A cryptogenic stroke is a stroke where doctors haven't been able to find a clear cause, even after thorough investigation.
Will I know if I'm getting the new device or a standard one?
The information provided doesn't specify if participants will know which device they receive; this detail would be explained fully if you consider joining the study.
Can I leave the study if I change my mind?
Yes, you are free to withdraw from the study at any time, for any reason, without it affecting your medical care.
How to find out more
Always speak to your GP or specialist before deciding to take part in a study.
Discussion
Community discussion
Powered by our forum at community.patient.info. Please be respectful — this is not medical advice.