September 1, 2015EuroIntervention
Antithrombotic therapy in TAVI patients: changing concepts
Population
Patients undergoing transcatheter aortic valve implantation (TAVI)
Design
Review
Authors
Discussion
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Member takes
Implication
Does not support changing DAPT recommendations after TAVI; leaves open optimal regimen pending dedicated RCTs.
Structured PICO
P
Population
Patients undergoing transcatheter aortic valve implantation (TAVI)
I
Intervention
Antithrombotic therapy (dual antiplatelet therapy, aspirin alone, or oral anticoagulation)
Recent evidence questions the routine use of dual antiplatelet therapy after TAVI, suggesting aspirin alone may be sufficient and oral anticoagulation could be a relevant alternative, though current guidelines still recommend DAPT.
Cite This Study
Gargiulo et al. (2015) studied this question.