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Anticoagulation with or without clopidogrel after transcatheter aortic-valve implantation

New England Journal of Medicine Apr 02, 2020

Nijenhuis VJ, Brouwer J, Delewi R, et al. - Researchers assessed the roles of anticoagulation alone or with an antiplatelet agent following transcatheter aortic-valve implantation (TAVI) in this randomized trial. Patients receiving TAVI who were on oral anticoagulation for appropriate indications were included. The participants were allocated prior to TAVI in a 1:1 ratio not to receive clopidogrel or to receive clopidogrel for 3 months. All bleeding and non–procedure-associated bleeding over a span of 12 months were regarded as two primary outcomes. Over a span of 1 month or 1 year, lower incidence of serious bleeding was reported in relation to oral anticoagulation alone vs with oral anticoagulation plus clopidogrel among patients undergoing TAVI who were taking oral anticoagulation.

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