13. Percutaneous intervention for structural heart disease

Aspirin with or without clopidogrel after TAVI

POPular TAVI Cohort A
Objective
to assess the clinical outcome of aspirin alone compared to aspirin plus clopidogrel for 3 months after TAVI
Study
investigator-initiated, open-label multicentre randomised trial
Population
patients undergoing TAVI not having an established indication for long-term anticoagulation
Endpoints
1) all bleeding (minor, major, life-threatening or disabling bleeding 2) non-procedure-related bleeding over a period of 1 year
Conclusion
aspirin alone compared to aspirin plus clopidogrel in patients undergoing TAVI was associated with significant less all bleeding and non-procedure related bleeding for a period of 12 months after TAVI
Brouwer et al. N Eng J Med. 2020;383:1447-57
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