Platelet Reactivity After TAVI: A Multicenter Pilot Study

Inclusion criteria

For inclusion in the study subjects should fulfill the following criteria:

• Provision of informed consent prior to any study specific procedures.
• Adult patients (more than 18 years) with ability to understand and accept the participation in the clinical trial.
• Patients with degenerative symptomatic severe AS accepted for TAVI after evaluation of the Heart Team of each center.
• Patients who are not participating in any other clinical trial or research study (registries allowed).

Exclusion criteria

Subjects should not enter the study if any of the following exclusion criteria are fulfilled:

• Recent stroke <14 days prior to TAVI, non-revascularized severe coronary or carotid artery disease (>70% stenosis) or life expectancy < 12 months
• Patients under chronic oral anticoagulation
• Patients with proven allergy to aspirin, clopidogrel or ticagrelor
• Patients that after TAVI cannot undergo a regimen of single or dual antiplatelet therapy for 3 months due to a new post-TAVI medical indication
• Known pregnancy or breast-feeding
• Concomitant oral or intravenous therapy with potent inhibitors of cytochrome P450 3A (CYP3A) that cannot be suspended during the course of the study. Medications considered as potent inhibitors are: ketoconazole, itraconazole, voriconazole, telithromycin, clarithromycin (or erythromycin but not astromicin, nefazodone, ritonavir, saquinavir, nelfinavir, indinavir, atazanavir, and more than a daily liter of grapefruit juice.
• Thrombocytopenia (<50,000 platelets U/L) well documented and clinically relevant.
• Patients with documented moderate or severe hepatic insufficiency
• Any condition that may put the patient at risk or influence the outcome of the trial
• Patients previously randomized in this trial or in another clinical trial with an investigational product or device over the past 30 days.
• Patients who cannot attend follow up visits scheduled in the study