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Antithrombotic Prophylaxis after TAVI



 TAVI is the standard procedure for patients with symptomatic severe aortic stenosis and increased surgical risk.

TAVI patients are at high risk of embolic and bleeding complications.

The mechanisms of valve thrombosis after TAVI are multifactorial: flow disturbances, stent structure, older population with comorbidities.

The optimal peri-procedural and long-term antithrombotic prophylaxis, remain unclear. European and AHA guidelines based on expert consensus recommend aspirin (ASA) and clopidogrel for 3-6 (ESC) or 6 (AHA) months and ASA life-long.

Only in ESC, SAPT may be considered in case of high bleeding risk. In patients with AF or other indication for oral anticoagulation (OAC), the continuation of OAC is recommended. 

Ongoing randomized studies (ATLANTIS, GALILEO, ENVISAGE-TAVI AF) will show the role of direct oral antagonist not only in patients with AF but also in sinus rhythm.

 

Janina Stepinska.jpg

Janina Stepinska

Cardiologist

Warsaw, Poland

 

 

Czerwinska-Katarzyna-2019-congress-news.jpgResources below have been selected by Dr. Katarzyna Czerwinska

Young member

Poland

 

Acute Cardiovascular Care Congress Resources

ESC 365 visual

Access the session from Acute Cardiovascular Care 2019

State-of-the-art lecture: present and future of antithrombotic strategies after TAVR

 

ESC Congress 2018

European Heart Journal - Acute Cardiovascular Care

Journal-Acute-Cardiovascular-Care-EHJ.pngAccess a selection of relevant scientific papers in the field

 

 

 

 

 

 

 

 

 

 

 

E-learning Courses

escel-acca.jpgTopic on Bleeding and haemostatis disorders

 

 

 


Learn more about Antithrombotic Prophylaxis after TAVI

E-learning courses

Topic on Bleeding and haemostatis disorders

 

Included:  3 online courses &  the IACC pdf chapter

Access the course
Congresses resources

A selection of sessions in the field

 

Read more
A Selection of Scientific Papers

Discover a selection  of scientific articles in the field by ACCA 

Read more