Antithrombotic Treatment After Surgical and Transcatheter Heart Valve Repair and Replacement

Copyright © 2021 Verstraete, Herregods, Verbrugghe, Lamberigts, Vanassche, Meyns, Oosterlinck, Rega, Adriaenssens, Van Hoof, Keuleers, Vandenbriele, Sinnaeve, Janssens, Dubois, Meuris and Verhamme..

New antithrombotic drugs have been developed, new valve types have been designed and minimally invasive transcatheter techniques have emerged, making the choice of antithrombotic therapy after surgical or transcatheter heart valve repair and replacement increasingly complex. Moreover, due to a lack of large randomized controlled trials many recommendations for antithrombotic therapy are based on expert opinion, reflected by divergent recommendations in current guidelines. Therefore, decision-making in clinical practice regarding antithrombotic therapy for prosthetic heart valves is difficult, potentially resulting in sub-optimal patient treatment. This article compares the 2017 ESC/EACTS and 2020 ACC/AHA guidelines on the management of valvular heart disease and summarizes the available evidence. Finally, we established a convenient consensus on antithrombotic therapy after valve interventions based on over 800 annual cases of surgical and transcatheter heart valve repair and replacement and a multidisciplinary team discussion between the department of cardiovascular diseases and cardiac surgery of the University Hospitals Leuven, Belgium.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:8

Enthalten in:

Frontiers in cardiovascular medicine - 8(2021) vom: 16., Seite 702780

Sprache:

Englisch

Beteiligte Personen:

Verstraete, Andreas [VerfasserIn]
Herregods, Marie Christine [VerfasserIn]
Verbrugghe, Peter [VerfasserIn]
Lamberigts, Marie [VerfasserIn]
Vanassche, Thomas [VerfasserIn]
Meyns, Bart [VerfasserIn]
Oosterlinck, Wouter [VerfasserIn]
Rega, Filip [VerfasserIn]
Adriaenssens, Tom [VerfasserIn]
Van Hoof, Lucas [VerfasserIn]
Keuleers, Siegmund [VerfasserIn]
Vandenbriele, Christophe [VerfasserIn]
Sinnaeve, Peter [VerfasserIn]
Janssens, Stefan [VerfasserIn]
Dubois, Christophe [VerfasserIn]
Meuris, Bart [VerfasserIn]
Verhamme, Peter [VerfasserIn]

Links:

Volltext

Themen:

AnTithrombotic treatment
Surgical valve repair
Surgical valve replacement
Systematic Review
Transcatheter aortic valve implantation
Transcatheter valve repair
Transcatheter valve replacement
Valve intervention
Valvular heart disease

Anmerkungen:

Date Revised 20.09.2023

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.3389/fcvm.2021.702780

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM329662902