Open AccessAnticoagulation after Transcatheter Aortic Valve Implantation: Current Status
Author(s) -
Antonio Greco,
Davide Capodanno
Publication year - 2020
Publication title -
interventional cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.832
H-Index - 11
eISSN - 1756-1477
pISSN - 1756-1485
DOI - 10.15420/icr.2019.24
Subject(s) - medicine , antithrombotic , stenosis , cardiology , aortic valve stenosis , clinical trial , intensive care medicine , surgery
Transcatheter aortic valve implantation (TAVI) is the standard of care for symptomatic severe aortic stenosis. Antithrombotic therapy is required after TAVI to prevent thrombotic complications but it increases the risk of bleeding events. Current clinical guidelines are mostly driven by expert opinion and therefore yield low-grade recommendations. The optimal antithrombotic regimen following TAVI has yet to be determined and several randomised controlled trials assessing this issue are ongoing. The purpose of this article is to critically explore the impact of antithrombotic drugs, especially anticoagulants, on long-term clinical outcomes following successful TAVI.