Management of Patients with Left Ventricular Assist Devices requiring Teeth Extraction: Is Halting Anti-Coagulation Appropriate?

An increasing number of end-stage heart failure patients are supported with left ventricular assist device (LVAD) implantation and must be maintained on a consistent anticoagulation regimen. Preemptive extraction of carious teeth in these patients is necessary to seeding of the implanted device and endocarditis. Thus, the objective of this study was to evaluate bleeding complications after minor oral surgery, specifically teeth extractions, in this unique patient population requiring chronic anticoagulation.

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