13. Percutaneous intervention for structural heart disease

Apixaban vs standard of care after TAVI

ATLANTIS
Objective
to investigate the clinical outcomes of the use of apixaban versus standard of care after successful TAVI. Standard of care: stratum I: Vit. K antagonists entire study and stratum 2: pts with no indication for oral anticoagulation were given antiplatelet treatment: aspirin and/or clopidogrel
Study
investigator-initiated open-label superiority multicentre randomised trial
Population
patients with successful TAVI
Endpoints
composite of death, MI, stroke, TIA, systemic embolism, intracardiac or bioprothesis thrombosis, deep vein thrombosis, pulmonary embolism, life-threatening, disabling or major bleeding over 1-year follow-up. Safety endpoint: major, disabling or life-threatening bleeding
Conclusion
Apixaban was not superior to standard of care after successful TAVI over a period of 1 year
Collet et al. European Heart Journal. 2022;43:2783-97
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