Accès ouvert déclaré
2024
article
Association Between Direct Oral Anticoagulant Score and Bleeding Events in Patients With Atrial Fibrillation Following Transcatheter Aortic Valve Replacement: A Retrospective Multicenter Cohort Study
Yoshihiro Harano, Masanori Yamamoto, Tetsuro Shimura, Munenori Okubo, Yutaka Koyama, Ryo Yamaguchi, Ai Kagase, Takahiro Tokuda, Fumiaki Yashima, Shinichi Shirai, Norio Tada, Toru Naganuma, Masahiro Yamawaki, Futoshi Yamanaka, Kazuki Mizutani, Masahiko Noguchi, Hiroshi Ueno, Kensuke Takagi, Yohei Ohno, Masaki Izumo, Hidetaka Nishina, Masahiko Asami, Toshiaki Otsuka, Yusuke Watanabe, Kentaro Hayashida, Makoto Tanaka, Hikaru Tsuruta, Tetsuya Saito, Yusuke Kobari, Toshinobu Ryuzaki, Tatsuo Takahashi, Shinichi Goto, Shohei Imaeda, Shingo Sakata, Yoshinori Katsumata, Kohsuke Shirakawa, Juri Iwata, Keitaro Shinada, Akiyoshi Kajino, Jungo Kato, Ryo Arita, T. Moriizumi, Mitsuru Sago, Tatsuya Tsunaki, Junji Yanagisawa, Yuki Okubo, Yuki Nakashima, Toshihiro Kobayashi, Kenichi Shibata, Ryoutaku Kawahata, Hiroto Nishio, Yuki Kondo, Tomofumi Nakamura, Hiroshi Tsunamoto, Shunsuke Imai, Tokuya Sakakura, M. Inagaki, Hirooki Higami, Yoji Kuze, Takashi Nagai, Azusa Kurita, Akihiro Isotani, Kenichi Ishizu, Masato Fukunaga, Hiroyuki Tabata, Toru Morofuji, Hiroyuki Kono, Maiko Kuroda, Euihong Ko, Norihisa Miyawaki, Kenji Nakano, Katsunori Miyahara, Ko Yamamoto, Koumei Onuki, Yasuo Tsuru, Tomohiro Suenaga, Akira Otani, Taiga Katayama, Hirofumi Hioki, Jun‐ichi Nishikawa, Yosei Iseki, Yasuyuki Tsuchida, Kento Kito, Joe Omiya, Masataka Arakawa, Maki Okamoto, Masafumi Saito, Mizuki Miura, Toru Ouchi, Haruhito Yuki, Yusuke Enta, Masaki Nakashima, Makoto Saigan, Yoshiko Munehisa, Masaki Miyasaka, Natsuko Satomi, Yuta Kobayashi, Daishi Tazawa, Yun Teng, Futoshi Yamanaka, Shingo Mizuno, Koki Shishido, Tomoki Ochiai, Tsuyoshi Yamabe, Noriaki Moriyama, Takashi Matsumoto, Hirokazu Miyashita, Yoichi Sugiyama, Kunihiko Shimizu, Daisuke Sato, Yuka Murakami, Nahoko Kato, Joji Ito, Makio Muraishi, Yuta Azumi, Minoru Tabata, Kunihiko Yoshino, Tetsuya Kobayashi, Hiroki Sakai, Nobuyuki Fukuda, Shuhei Tanaka, Hiroshi Onoda, Toshio Doi, Mitsuo Sobajima, Yohei Ueno, Teruhiko Imamura, Ryuichi Ushijima, Yuki Hida, Kazuya Nakashima, Junichi Miyamoto, Tsutomu Murakami, Kimiaki Okada, Sho Torii, Makoto Natsumeda, Takeshi Ijichi, Hitomi Horinouchi, Kazuki Aihara, Katsuaki Sakai, Shingo Matsumoto, Norihiko Kamioka, Norihito Nakamura, Takafumi Saito, Satoshi Noda, Yu Sato, Daisuke Miyahara, Shingo Kuwata, Masashi Koga, Toshiki Kaihara, Takumi Higuma, Kei Honda, Yoshikuni Kobayashi, Risako Murata, Kenichi Sasaki, Daisuke Togashi, Takahiko Kai, Taishi Okuno, Toshiya Yoshida, Karin Terauchi, Kazumasa Yamasaki, Hiroki Bota, Tomoyuki Tani, Mamoru Miyazaki, Yuki Katagiri, Akimune Kuwayama, Daiki Akiyama, Kazuya Shinouchi, Maiko Ishikawa, Hiroto Suzuyama, Kazuhisa Kodama, Hideharu Okamatsu, Tomohiro Sakamoto, Yoko Horibata, Yutaka Konami, Masahiro Yamada, Eiji Horio, Mika Maeda, Satoko Hasegawa, Megumi Koga, Mikiko Ohara, Yasushi Fuku, Akihiro Ikuta, S. Matsushita, Satoki Oka, Naoya Inoue, Gakuto Bando, Makoto Amaki, Takeshi Kitai, Atsushi Okada, Tasuku Hada, Shoko Nakagawa, Marina Arai, Yuki Irie, Takahiro Sakamoto, Shinichi Kurashima, Jun Tanaka, Yu Horiuchi, Naoki Hosoda, Yuki Gonda, Yohei Nishimura, Asahi Oshima, Kenichi Hashizume, Hiroaki Nishida, Nobuhiro Yoshijima, Masatoshi Sato, Gaku Nakazawa, Masakazu Yasuda, Kosuke Fujita, Tatsuya Miyoshi, Naoko Soejima, Masahiro Maruyama, M Tanaka, Takayuki Kawamura, Honoka Kanno, Ayano Yoshida, Kyohei Onishi, Nobuhiro Yamada, Hiroki Matsuzoe, Daisuke Hachinohe, Ken Kobayashi, Umihiko Kaneko, Hidemasa Shitan, Ryo Horita, Ryo Otake
3Citations signalées, ce qui n’est pas une note de qualité
22Institutions déclarées
1Pays d’affiliation déclarés
Rattachement africain : jp.
Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Background The Direct Oral Anticoagulant (DOAC) Score can predict bleeding risk in patients with atrial fibrillation taking DOACs; however, it lacks external validation. Therefore, this study aimed to assess the association between the DOAC Score and bleeding events in patients with atrial fibrillation who underwent transcatheter aortic valve replacement. Methods and Results This retrospective multicenter cohort study included patients with atrial fibrillation who underwent transcatheter aortic valve replacement, as registered in a Japanese multicenter registry. The primary end point was the incidence of bleeding. Patients were categorized based on their DOAC Score: low and moderate‐ (≤7 points), high‐ (8–9 points), and very high‐risk (≥10 points) groups. Among 1230 patients (mean age 84.6±5.1 years; 457 men), 465 (37.8%) received a vitamin K antagonist, and the remaining patients received DOACs. The low and moderate‐, high‐, and very high‐risk groups included 380 (30.1%), 497 (40.4%), and 353 patients (28.7%), respectively. The 3‐year cumulative incidence of all bleeding events was significantly different among the 3 groups (low and moderate risk: 6.6%, high risk: 6.9%, and very high risk: 14.0%; P <0.01). Multivariable Cox regression analysis revealed that significant increments in the DOAC Score were associated with a risk of all bleeding events at 3 years in the overall cohort (hazard ratio [HR], 1.22 [95% CI, 1.08–1.38]; P <0.01), in the DOAC cohort (HR, 1.20 [95% CI, 1.01–1.42]; P =0.04), and in the vitamin K antagonist cohort (HR, 1.25 [95% CI, 1.04–1.50]; P =0.02). Conclusions The DOAC Score was significantly associated with bleeding events in patients with atrial fibrillation after transcatheter aortic valve replacement, aiding in clinical decision‐making for anticoagulant management. Registration URL: https://center6.umin.ac.jp/cgi‐open‐bin/ctr_e/ctr_view.cgi?recptno=R000023585 ; Unique identifier: UMIN000020423.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Association Between Direct Oral Anticoagulant Score and Bleeding Events in Patients With Atrial Fibrillation Following Transcatheter Aortic Valve Replacement: A Retrospective Multicenter Cohort Study
- Date Crossref
- 19/11/2024
- Éditeur
- Ovid Technologies (Wolters Kluwer Health)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Les institutions déclarées
Une affiliation ne permet pas de déduire la nationalité d’un auteur.
Les sujets associés
Atrial Fibrillation Management and OutcomesCardiac Valve Diseases and TreatmentsAntiplatelet Therapy and Cardiovascular Diseases