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TAVI and Atrial Fibrillation
SAPT: Aspirin or clopidogrel.
DAPT: Aspirina and clopidogrel.
DOACs: Any of the following: Rivaroxaban, Apixaban, Dabigatran
Aceptar
1.
During the last year:
Number of TAVI performed in your institution:
2.
Number of TAVI that you implanted as first operator:
3.
Case 1:
78 y/o male with a history of AF (CHADS-Vasc= 3 pts) anticoagulated with DOACs. A TAVI was implanted without incidents in the context of severe symptomatic AS. There is no bleeding history. On discharge you prescribe the following treatment:
DAPT
SAPT + DOACs
DOACs alone
Warfarin alone
SAPT + Warfarin
4.
Case 2:
83 y/o male. On TAVI workup a significant coronary stenosis (CAD) was found that was treated with a DES. After TAVI implant the patient experiencies an episode of AF (CHADS-Vasc 2). Low risk of bleeding. On discharge you prescribe the following treatment:
DAPT
SAPT + DOACs
DAPT + DOACs
DAPT + Warfarin
SAPT + Warfarin
DOACs or Warfarin alone
5.
Case 3:
70 y/o female. History of cirrhosis with upper GI bleed without oesophageal varices.
A TAVI was succesfully implanted with no complications. Presents an episode of atrial fibrillation treated with electrical cardioversion (CHADS-Vasc 3 pts). On discharge you prescribe the following treatment:
DAPT
SAPT
DOACs alone
Warfarin alone
Left atrial appendage closure is indicated.
6.
Case 4:
74 y/o female. History of CAD with PCI to the LAD 10 years ago (unstable angina) and atrial fibrillation (CHADS-Vasc 3 pts). Severe symptomatic AS is diagnosed. A transfemoral TAVI was implanted. On discharge you would prescribe which of the following:
DAPT
SAPT + DOACs
DAPT + DOACs
DAPT + Warfarin
SAPT + Warfarin
DOACs or Warfarin alone
7.
Country?
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