Valvular & structural heart disease

Impact of the antiplatelet strategy following patent foramen ovale percutaneous closure

Eur Heart J Cardiovasc PharmacotherPublished Ambispective cohort study

Main findingResult — go to the resultWeighted hazard ratio 1.04 95% CI 0.59–1.83

Authors' conclusion

The antiplatelet strategy following PFO closure did not seem to impact clinical outcomes

Study context

Population
Consecutive patients undergoing patent foramen ovale (PFO) percutaneous closure discharged without anticoagulation, 7 centres in France and Canada, 2001–2022AIR-FORCE cohort
Participants
1,532 patients
Exposure
Single antiplatelet therapy (SAPT) vs dual antiplatelet therapy (DAPT) at discharge after PFO closure
  • SAPTn = 599
  • DAPTn = 933reference
Outcome
Composite of:
  • Death
  • Stroke
  • TIA
  • Peripheral embolism
  • MI
  • BARC type ≥2 bleeding
Follow-up
Up to 5 years
Methodological detailsmulticentre, propensity-score inverse probability weighting, consecutive patients
  • Multicentre
  • Propensity-score inverse probability weighting
  • Consecutive patients

Main finding

As reported in the abstract

Weighted hazard ratio

1.04

95% CI 0.59–1.83

By group

SAPTvs DAPT
weighted HR 1.04 (95% CI 0.59–1.83)
Total events
58

Observational data: associations, not effects.

Original publication

Impact of the antiplatelet strategy following patent foramen ovale percutaneous closure. Eur Heart J Cardiovasc Pharmacother. Published 24 March 2023. doi:10.1093/ehjcvp/pvad023

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