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Rivaroxaban-Aspirin Combo Works in ASCVD Across BMI Groups

February 01, 2021 Use of low-dose rivaroxaban (Xarelto; Bayer/Janssen) plus aspirin improves outcomes in patients with chronic atherosclerotic vascular disease irrespective of body size, a secondary analysis of the COMPASS trial shows. In that trial, combining rivaroxaban 2.5 mg twice daily and aspirin 100 mg per day reduced the composite of CV death, stroke, or MI at the cost of more major bleeding, and those effects did not vary significantly across categories of body weight or body mass index (BMI), researchers led by Tomasz Guzik, MD, PhD (University of Glasgow, Scotland), report. The results, published in the February 9, 2021, issue of the Journal of the American College of Cardiology, “show that this combination of a vascular dose of rivaroxaban with aspirin can be safely used across a broad range of body weights and does not necessitate dose adjustments,” Guzik told TCTMD.

EXTRACT-PE: Positive Results With Aspiration Thrombectomy for Submassive PE

Photo Credit: Michael Rosenberg, MD (University of Minnesota, Minneapolis) Among patients with submassive pulmonary embolism (PE), right ventricular function can improve within 48 hours of undergoing thrombectomy with the Indigo aspiration system (Penumbra), final results of the single-arm EXTRACT-PE trial show. The RV/LV diameter ratio fell by 27.3% after the procedure. Three major adverse events occurred within 48 hours in two patients (1.7%) both had major bleeds and one ultimately died, researchers led by Akhilesh Sista, MD (NYU Grossman School of Medicine, New York, NY), report. Intraprocedural thrombolytic therapy was avoided in all but two patients. The findings, published online January 13, 2021, ahead of print in

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