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ArticleJACC. Advances2026

Antiplatelet Therapy and All-Cause Mortality After Transcatheter Aortic Valve Replacement: The TRITAVI Registry.

Francesco Pelliccia, Vincenzo Pasceri, George Dangas, Roxana Mehran, Italo Porto, Francesco Radico, Fausto Biancari, Fabrizio D'Ascenzo, Francesco Saia, Giampaolo Luzi and 30 more

Registry-linked trialAbstract read
In one paragraph

Article in JACC. Advances, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03740425 (Transfusion Requirements in Transcatheter Aortic Valve Implantation), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03740425 completednot on this map

Transfusion Requirements in Transcatheter Aortic Valve Implantation (TRITAVI) Study

TypeobservationalSponsorG. d'Annunzio UniversityRan2018 to 2019Enrolled3,235ConditionsTranscatheter Aortic Valve Implantation (TAVI), Blood Transfusion, AKI, PrognosisArmsBlood Transfusion
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

40 authors.

Francesco PellicciaDepartment of Cardiovascular Sciences, University Sapienza, Rome, Italy. Electronic address: f.pelliccia@mclink.it.
Vincenzo PasceriDepartment of Cardiology, San Filippo Neri Hospital, Rome, Italy.
George DangasCardiovascular Research Unit, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Roxana MehranCardiovascular Research Unit, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Italo PortoChair of Cardiovascular Disease, Department of Internal Medicine and Specialties University of Genoa, Genoa, Italy; Cardiology Unit, Cardiothoracic and Vascular Department (DICATOV) IRCCS, Ospedale Policlinico San Martino, Genoa, Italy.
Francesco RadicoDepartment of Cardiology, ASL2 Abruzzo, Chieti, Italy.
Fausto BiancariDepartment of Cardiovascular Surgery, Centro Cardiologico Monzino IRCSS, Milan, Italy.
Fabrizio D'AscenzoDepartment of Internal Medicine, Città della Salute e della Scienza, Turin, Italy.
Francesco SaiaDepartment of Cardiothoracic Vascular Surgery, University Hospital, Bologna, Italy.
Giampaolo LuziCardiovascular Department, Azienda Ospedaliera Regionale "San Carlo", Potenza, Italy.
Francesco BedogniDepartment of Cardiology, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy.
Ignacio J Amat SantosCIBERCV, Interventional Cardiology, Hospital Clínico Universitario de Valladolid, Valladolid, Spain.
Vincenzo De MarzoChair of Cardiovascular Disease, Department of Internal Medicine and Specialties University of Genoa, Genoa, Italy; Cardiology Unit, Cardiothoracic and Vascular Department (DICATOV) IRCCS, Ospedale Policlinico San Martino, Genoa, Italy; Department of Cardiology, ASL2 Abruzzo, Chieti, Italy.
Arnaldo DimagliDepartment of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York, USA.
Timo MäkikallioDepartment of Medicine, South Karelia Central Hospital, University of Helsinki, Lappeenranta, Finland.
Eugenio StabileCardiovascular Department, Azienda Ospedaliera Regionale "San Carlo", Potenza, Italy.
Sara Blasco-TurriónCIBERCV, Interventional Cardiology, Hospital Clínico Universitario de Valladolid, Valladolid, Spain.
Luca TestaDepartment of Cardiology, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy.
Marco BarbantiUniversità degli Studi "Kore", Enna, Italy.
Giuliano CostaDivision of Cardiology, A.O.U. Policlinico "G. Rodolico - San Marco", Catania, Italy.
Franco FabbiocchiDepartment of Cardiovascular Sciences, Galeazzi-Sant'Ambrogio Hospital, I.R.C.C.S., Milan, Italy.
Ahmed ChilmeranDepartment of Cardiology, Royal Sussex County Hospital, Brighton, United Kingdom.
Giulio StefaniniDepartment of Biomedical Sciences, Humanitas University, Rozzano-Milan, Italy; Department of Cardiology, IRCSS Humanitas Research Hospital, Rozzano-Milan, Italy.
Federico ConrottoDepartment of Internal Medicine, Città della Salute e della Scienza, Turin, Italy.
Corrado TamburinoCentro Cuore Morgagni, Pedara, Italy.
Carmen SpaccarotellaDivision of Cardiology, Department of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy.
Davide CaoDepartment of Biomedical Sciences, Humanitas University, Rozzano-Milan, Italy; Department of Cardiology, IRCSS Humanitas Research Hospital, Rozzano-Milan, Italy.
Andrea MacchioneChair of Cardiovascular Disease, Department of Internal Medicine and Specialties University of Genoa, Genoa, Italy; Cardiology Unit, Cardiothoracic and Vascular Department (DICATOV) IRCCS, Ospedale Policlinico San Martino, Genoa, Italy.
Michele La TorreDepartment of Internal Medicine, Città della Salute e della Scienza, Turin, Italy.
Francesco BendandiDepartment of Cardiothoracic Vascular Surgery, University Hospital, Bologna, Italy.
Wojciech WańhaDivision of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.
Wojtek WojakowskiDivision of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.
Umberto BenedettoDepartment of Cardiac Surgery, University "G. d'Annunzio", Chieti, Italy.
Ciro IndolfiCardiovascular Research Center, Division of Cardiology, University Magna Graecia, Catanzaro, Italy.
David Hildick-SmithDepartment of Biomedical Sciences, Humanitas University, Rozzano-Milan, Italy.
Davide CapodannoDivision of Cardiology, A.O.U. Policlinico "G. Rodolico - San Marco", Catania, Italy.
Fabio MiraldiDepartment of Cardiovascular Sciences, University Sapienza, Rome, Italy.
Dobromir DobrevWest German Heart and Vascular Center, Institute of Pharmacology, University Duisburg-Essen, Essen, Germany; Montréal Heart Institute, Université de Montréal, Montréal, Québec, Canada; Department of Integrative Physiology, Baylor College of Medicine, Houston, Texas, USA.
Marco ZimarinoDepartment of Cardiology, SS. Annunziata Hospital, ASL2 Abruzzo, Chieti, Italy; Department of Neuroscience, Imaging and Clinical Sciences, "Gabriele d'Annunzio" University of Chieti-Pescara, Chieti, Italy.
TRITAVI Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrent guidelines recommend single antiplatelet therapy (SAPT) after transcatheter aortic valve replacement (TAVR) in patients without an indication for anticoagulation. This recommendation is mainly based on a better risk profile in terms of bleeding over dual antiplatelet therapy (DAPT), although data on mortality are inconclusive.

objectivesWe analyzed 6-month and 24-month mortality associated with SAPT and DAPT after femoral TAVR from the Transfusion Requirements in Transcatheter Aortic Valve Implantation registry.

methodsThe Transfusion Requirements in Transcatheter Aortic Valve Implantation is a multicenter registry including 10,071 patients undergoing TAVR. For the purpose of the present study, 4,557 patients with indication to anticoagulation, nonfemoral access, recent percutaneous coronary intervention, and procedural complications were excluded. The remaining 5,514 patients (age 81 ± 7 years, 51% males) were discharged either on SAPT (n = 3,197) or DAPT (n = 2,317).

resultsThe SAPT group, compared with the DAPT group, experienced lower 6-month all-cause mortality (2.4% vs 5.4%; log-rank P < 0.0001) and major bleeding (0.5% vs 1.3%; log-rank P = 0.001). SAPT was associated with reduced both cardiovascular (1.3%) and noncardiovascular mortality (1.1%), as compared to DAPT (2.2%, P = 0.008 and 3.2%, P = 0.0001, respectively). At 24-month follow-up, overall mortality remained significantly lower with SAPT vs DAPT (11.7% vs 14.2%; log-rank P = 0.007). Cox regression hazard model confirmed the association of DAPT with 6-month (adjusted HR: 1.69; 95% CI: 1.20-2.37; P = 0.002) and 24-month (adjusted HR: 1.21; 95% 1.01-1.46; P = 0.04) all-cause mortality.

conclusionsIn a large real-world population of all comers undergoing TAVR, SAPT was associated with a significantly lower 6-month and 24-month all-cause mortality as compared with DAPT. (Transfusion Requirements in Transcatheter Aortic Valve Implantation [TRITAVI] Study; NCT03740425).

Indexed as

bleedingcoronary artery diseasedual antiplatelet therapymortalitysingle antiplatelet therapytranscatheter aortic valve replacement

Identifiers

PMID42206788
PMCPMC13221876

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Registered trials

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