Transcatheter Aortic Valve Replacement
Conditions
Brief summary
A sample of plasma and whole blood will be obtained at 4 time points (pre-procedural, early post-procedural, at hospital discharge and during an eventual visite at 3 or 6 months post-procedural). Test for platelet reactivity (LTA, light transmittance aggregometry and Elisa PRI, Platelet reactivity index), multimeric VWF (von Willebrand factor) and blood level of NET: neutrophil extracellular traps(flow cytometry and ELISA) analyses will be performed at the time of blood sampling. Aliquots of plasma will be stored and frozen for further analyses
Detailed description
There are two major objectives: * To correlate changes in VWF, platelet reactivity and blood level of NET after TAVR with clinical outcomes * To correlate changes in VWF, platelet reactivity and blood level of NET with antithrombotic regimens after TAVR (direct anticoagulants apixaban versus standard of care, ie Vitamin K antagonist or antiplatelet therapy).
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* patient undergoing TAVR intervention * agreement given
Exclusion criteria
* severe thrombopenia ( \<40.10\^9/L)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Major Adverse Cardiac Events | 12 months | stroke/transient ischemic attack; acute coronary syndrome; hospitalization for cardiac insufficiency, cardiovascular or unexplained deaths will be collected at 12 month by phone contact with the patient or his/her relatives or his/her treating physician |
| Bleeding | 12 months | Serious bleeding event (BLEED II or more) will be collected at 12 month by phone contact with the patient or his/her relatives or his/her treating physician |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| mean pressure transprosthetic gradient | within ten days after valve replacement | value of the mean pressure transprosthetic gradient after TAVR procedure will be assessed by TTE (transthoracic echography) or TOE (transesophageal echography) |
Countries
France