Apixaban or Warfarin in Patients with an On-X Mechanical Aortic Valve

Apixaban, Warfarin, and On-X Mechanical Aortic ValvesAlthough vitamin K antagonists are the only oral anticoagulants approved with mechanical heart valves, this trial examined whether apixaban could be safely used in patients with an On-X mechanical aortic valve. A total of 863 such patients were assigned apixaban 5 mg twice daily or warfarin (target international normalized ratio 2.0 to 3.0). A total of 20 thrombotic events occurred in the apixaban group (4.2%/patient-year) and 6 events in the warfarin group (1.3%/patient-year). Major bleeding rates were 3.6%/patient-year with apixaban and 4.5%/patient-year with warfarin.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:2

Enthalten in:

NEJM evidence - 2(2023), 7 vom: 01. Juli, Seite EVIDoa2300067

Sprache:

Englisch

Beteiligte Personen:

Wang, Tracy Y [VerfasserIn]
Svensson, Lars G [VerfasserIn]
Wen, Jun [VerfasserIn]
Vekstein, Andrew [VerfasserIn]
Gerdisch, Marc [VerfasserIn]
Rao, Vijay U [VerfasserIn]
Moront, Michael [VerfasserIn]
Johnston, Doug [VerfasserIn]
Lopes, Renato D [VerfasserIn]
Chavez, Alma [VerfasserIn]
Ruel, Marc [VerfasserIn]
Blackstone, Eugene H [VerfasserIn]
Becker, Richard C [VerfasserIn]
Thourani, Vinod [VerfasserIn]
Puskas, John [VerfasserIn]
Al-Khalidi, Hussein R [VerfasserIn]
Cable, David G [VerfasserIn]
Elefteriades, John A [VerfasserIn]
Pochettino, Alberto [VerfasserIn]
Wolfe, J Alan [VerfasserIn]
Graeve, Allen [VerfasserIn]
Sultan, Ibrahim [VerfasserIn]
Sabe, Ashraf A [VerfasserIn]
Michelena, Hector I [VerfasserIn]
Alexander, John H [VerfasserIn]

Links:

Volltext

Themen:

3Z9Y7UWC1J
5Q7ZVV76EI
Anticoagulants
Apixaban
Clinical Trial
Journal Article
Pyrazoles
Pyridones
Warfarin

Anmerkungen:

Date Completed 10.02.2024

Date Revised 10.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1056/EVIDoa2300067

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368095525