Home > Cardiology > Aspirin alone best anti-clotting strategy after TAVI

Aspirin alone best anti-clotting strategy after TAVI

New England Journal of Medicine
ESC 2020
Reuters Health - 04/09/2020 - Results of a new randomized trial challenge current recommendations on antiplatelet therapy after transcatheter aortic valve implantation (TAVI) in patients with no indication for long-term oral anticoagulation. For these patients, the study showed that aspirin alone, as compared to aspirin plus three months' clopidogrel, "reduces bleeding events significantly and does not increase the rate of thromboembolic events," said lead investigator Dr. Jorn Brouwer in a presentation August 30 to the European Society of Cardiology (ESC) virtual meeting "Physicians can easily and safely reduce the rate of bleeding by omitting clopidogrel after TAVI. Aspirin alone should be used in patients undergoing TAVI who are not on oral anticoagulation and have not recently undergone coronary stenting," said Dr. Brouwer of St Antonius Hospital, in Nieuwegein, the Netherlands. Current European guidelines recommend clopidogrel plus aspirin for three to s...

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