Non-vitamin K versus vitamin K antagonist oral anticoagulants in surgical mitral valve repair or bioprosthetic valve replacement in the first three months after surgery.
Rev Port Cardiol
; 43(9): 501-509, 2024 Sep.
Article
em En, Pt
| MEDLINE
| ID: mdl-38945474
ABSTRACT
INTRODUCTION AND OBJECTIVES:
Oral anticoagulation (OAC) with non-vitamin K antagonist oral anticoagulants (NOACs) after surgical mitral valve repair (MVR) or bioprosthetic valve replacement (BVR) in mitral position remains a controversial topic among the cardiovascular community, in particular in the early postoperative period. This study aimed to evaluate the efficacy and safety of NOACs in the first three months after MVR or mitral BVR compared to vitamin K antagonists (VKAs).METHODS:
This was a single-center retrospective study with prospectively collected peri-intervention outcomes between 2020 and 2021. Records were retrieved and all participants were contacted by telephone. Patients were divided into groups according to OAC strategy. The primary outcome was a composite of death, rehospitalization, myocardial infarction, stroke or transient ischemic attack, systemic embolism, mitral thrombosis, or bleeding during the first three months after surgery.RESULTS:
A total of 148 patients were enrolled, with a mean age of 65.5±12.2 years, 56.8% male. On discharge, 98 (66.2%) patients were on VKAs and 50 (33.8%) were on DOACs for at least three months. The primary outcome occurred in 22 (22.4%) patients in the VKA group and in three (6%) in the NOAC group (p=0.012), mainly driven by more bleeding events in the former. Independent predictors of the primary outcome were smoking (p=0.028) and OAC with VKAs at discharge, the latter predicting three times more events (p=0.046, OR 3.72, 95% CI 1.02-13.5).CONCLUSIONS:
NOACs were associated with fewer events, supporting their efficacy and safety during the first three months after surgical MVR or mitral BVR.Palavras-chave
Anticoagulantes orais não antagonistas da vitamina K; First three months after surgery; Implantação cirúrgica de prótese valvular em posição mitral; Mitral bioprosthetic valve replacement; Mitral valve repair; Non-vitamin K antagonist oral anticoagulants; Primeiros três meses após a cirurgia; Reparação cirúrgica da valva mitral
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Limite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
/
Pt
Ano de publicação:
2024
Tipo de documento:
Article