Valvular & structural heart disease

Rationale and design of REAC-TAVI 2: Single antiplatelet treatment with ticagrelor vs aspirin after transcatheter aortic valve implantation

Am Heart JPublished Randomised controlled trial

Study context

Population
Patients undergoing transcatheter aortic valve implantation (TAVI) without oral anticoagulation (OAC) indication, at high ischaemic risk (concomitant CAD, DM or peripheral vascular disease)planned enrolment
Participants
1,206 patients
Planned comparison
Low-dose ticagrelor vs aspirin as single antiplatelet therapy after TAVI
Primary endpoint
Net adverse clinical event (NACE) (all-cause mortality, cerebrovascular events, MI, progressive angina leading to emergency evaluation, rehospitalization or new coronary angiogram, clinical valve thrombosis, acute limb ischemia leading to hospitalization, type 2, 3 or 5 bleeding)
Follow-up
1 year after TAVI
Methodological detailsprospective, multicentre, open-label, phase III, 1:1 randomisation
  • Prospective
  • Multicentre
  • Open-label
  • Phase III
  • 1:1 randomisation

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Rationale and design of REAC-TAVI 2: Single antiplatelet treatment with ticagrelor vs aspirin after transcatheter aortic valve implantation. Am Heart J. Published 1 November 2025. doi:10.1016/j.ahj.2025.107293

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