This mini-CAT is based on the first PICO (week 1) of the 6th rotation, which for me was Internal Medicine at New York Presbyterian Queens, Flushing, NY. I chose to further research this question as this is a potentially practice changing debate. Clinical Question: There is a patient admitted to the Medicine floor status post transcatheter aortic valve replacement (TAVR). His medical history offers no independent indications for anticoagulation therapy or for dual antiplatelet therapy. He states he is generally forgetful and is worried about his ability to comply with a complicated pharmacological treatment regimen. He is therefore requesting his …