Periprocedural antiplatelet management in cardiac patients undergoing dental extraction: A case report and review of literature

Multidisciplinary care in healthcare is becoming the preferred approach to optimizing outcome. We present a case in which a patient developed a thrombotic occlusion of the mid left anterior descending coronary artery (very late stent thrombosis) leading to acute myocardial infarction while presentin...

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Main Authors: Ajay Agarwal (Author), Osama Hallak (Author), Tanjeev Ahmad (Author)
Format: Book
Published: Elsevier, 2022-01-01T00:00:00Z.
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Summary:Multidisciplinary care in healthcare is becoming the preferred approach to optimizing outcome. We present a case in which a patient developed a thrombotic occlusion of the mid left anterior descending coronary artery (very late stent thrombosis) leading to acute myocardial infarction while presenting for a dental extraction. Prior to the dental extraction his antiplatelet medication was held to minimize his risk of bleeding. This raises a question regarding the optimal use of antiplatelet medication during dental procedures. In complex cardiac patients we propose a multidisciplinary approach to antiplatelet management during the periprocedural period.
Item Description:2667-1476
10.1016/j.adoms.2021.100245