Patients with severe aortic stenosis submitted for Transcatheter Aortic Valve Implantation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - >18 years old - Diagnosed with severe aortic stenosis - High and/or intermediate surgery risk based on current risk scores - Ruled in by a Heart Team decision - Without previous dual antiplatelet therapy - Plaqueted reactivity made by VerifyNow® assays in whom has been treated with Clopidogrel Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 40 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 40
Exclusion criteria
Exclusion criteria: - Contraindication to TAVI - Atrial Fibrillation (which needs oral anticoagulation) - Oral anticoagulation - History of intracranial hemorrhage - Ischemic stroke the 14 days before TAVI - Active pathological bleeding or diathesis - Moderate to severe hepatic impairment - Use of strong CYP34A inhibitors or inducers - Use of ISRS (Paroxetina, Sertralina, Citalopram) - Contraindications to DAPT for 3 months - Contraindication to Aspirin, clopidogrel or ticagrelor - Platelet count <50.000 - Pregnancy or breastfeeding
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The efficacy of available dose of Ticagrelor 60 mg/12h in suppressing high platelet reactivity after TAVI.;Secondary Objective: The incidence of hemorrhagic complications;Primary end point(s): Assess the efficacy of ticagrelor 60 mg/12h in suppressing HPR after TAVI;Timepoint(s) of evaluation of this end point: 1. Pre-TAVI: 2. In-Hospital after TAVI: at 24 ± 2hrs 3. Out-of-Hospital follow-up visits : at 30 ± 7 days at 90 ± 7 days at 120 ± 7 days | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Evaluate the incidence of hemorrhagic complications after TAVI.;Timepoint(s) of evaluation of this end point: 1. Pre-TAVI 2. In-Hospital after TAVI: at 24 ± 2hrs 3. Out-of-Hospital follow-up visits : at 30 ± 7 days at 90 ± 7 days at 120 ± 7 days | — |
Countries
Spain
Contacts
Hospital Alvaro Cunqueiro