Transcatheter aortic valve implantation in a patient with previous Starr-Edwards mitral valve prosthesis

Heart ◽  
2012 ◽  
Vol 99 (3) ◽  
pp. 217-218 ◽  
Author(s):  
Mohammed Shamim Rahman ◽  
David Roy ◽  
Stephen J Brecker
2015 ◽  
Vol 113 (04) ◽  
pp. 674-685 ◽  
Author(s):  
Vincent J. Nijenhuis ◽  
Naoual Bennaghmouch ◽  
Jan-Peter van Kuijk ◽  
Davide Capodanno ◽  
Jurriën M. ten Berg

SummaryTranscatheter aortic valve implantation (TAVI) is an established treatment option for symptomatic patients with severe aortic valvular disease who are not suitable for conventional surgical aortic valve replacement. Despite improving experience and techniques, ischaemic and bleeding complications after TAVI remain prevalent and impair survival in this generally old and comorbid-rich population. Due to changing aetiology of complications over time, antiplatelet and anticoagulant therapy after TAVI should be carefully balanced. Empirically, a dual antiplatelet strategy is generally used after TAVI for patients without an indication for oral anticoagulation (OAC; e. g. atrial fibrillation, mechanical mitral valve prosthesis), including aspirin and a thienopyridine. For patients on OAC, a combination of OAC and aspirin or thienopyridine is generally used. This review shows that current registries are unfit to directly compare antithrombotic regimens. Small exploring studies suggest that additional clopidogrel after TAVI only affects bleeding and not ischemic complications. However, these studies are lack in quality in terms of Cochrane criteria. Currently, three randomised controlled trials are recruiting to gather more knowledge about the effects of clopidogrel after TAVI.


2010 ◽  
Vol 55 (10) ◽  
pp. A178.E1664
Author(s):  
mathieu vergnat ◽  
Joseph Bavaria ◽  
Benjamin M. Jackson ◽  
Albert T. Cheung ◽  
Stuart J. Weiss ◽  
...  

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