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Have Stent Put In And Taking Plavix. Gum Surgery To Be Done. Should I Stop Taking Medicine?

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Posted on Fri, 22 Feb 2013
Question: i have a stent and take baby aspirin and plavix, stent put in 4 yrs. ago i will be having gum surgery tuesday feb 5th when do i stop the medication
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Answered by Dr. (Prof.) Subroto Mandal (5 hours later)
Hello and welcome to XXXXXXX

As per your history regarding Stent 4 years back most probably, it will be a medicated stent. We give blood thinner like aspirin and Plavix to prevent clogging of the stent i.e. re-stenosis.

Use of aspirin increases the risk of bleeding during any surgery.
Normally for any elective MAJOR surgery, we stop the blood thinner at least one week before the surgery. However, in emergency surgery it depends upon physician discretion and judgment about the risk and benefit ratio.

Now as you plan for gum surgery, which is elective minor surgery, also you have stent, if you stop aspirin and plavix for longer periods it may be risky.

However, as gum surgery (it may be minor) you can stop for about 3-4 days before the surgery. Again, your dentist and cardiologist will decide this, because the dentist has to perform the surgery.

Hope I have answered your query.

Wish you a healthy heart.

SUBROTO
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. (Prof.) Subroto Mandal

Cardiologist, Interventional

Practicing since :1995

Answered : 141 Questions

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Have Stent Put In And Taking Plavix. Gum Surgery To Be Done. Should I Stop Taking Medicine?

Hello and welcome to XXXXXXX

As per your history regarding Stent 4 years back most probably, it will be a medicated stent. We give blood thinner like aspirin and Plavix to prevent clogging of the stent i.e. re-stenosis.

Use of aspirin increases the risk of bleeding during any surgery.
Normally for any elective MAJOR surgery, we stop the blood thinner at least one week before the surgery. However, in emergency surgery it depends upon physician discretion and judgment about the risk and benefit ratio.

Now as you plan for gum surgery, which is elective minor surgery, also you have stent, if you stop aspirin and plavix for longer periods it may be risky.

However, as gum surgery (it may be minor) you can stop for about 3-4 days before the surgery. Again, your dentist and cardiologist will decide this, because the dentist has to perform the surgery.

Hope I have answered your query.

Wish you a healthy heart.

SUBROTO