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Preprocedural P2Y12 inhibition and decrease in platelet count following transcatheter aortic valve replacement

Catheterization and Cardiovascular Interventions May 10, 2019

Ibrahim H, et al. - Via this retrospective analysis of consecutive patients (n = 266) undergoing transcatheter aortic valve replacement (TAVR), researchers investigated if postprocedural thrombocytopenia could be prevented by preprocedural P2Y12 inhibition, which was defined as preprocedure clopidogrel load ≥300 mg or maintenance P2Y12 inhibitor therapy. They excluded 8 patients who did not consent for the registry, 14 patients with baseline severe thrombocytopenia (<90 × 103 platelets/μL) and 4 patients without baseline platelet count. According to the findings, a reduction in platelet count post-TAVR was less likely in patients who received preprocedural P2Y12 inhibition before TAVR.
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