open access

Vol 63, No 8 (2005)
Other
Published online: 2005-08-19
Submitted: 2012-12-28
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Oral surgery procedures in patients on anticoagulants. Preliminary report

Agata Cieślik-Bielecka, Ryszard Pelc, Tadeusz Cieślik
Kardiol Pol 2005;63(8):137-140.

open access

Vol 63, No 8 (2005)
Other
Published online: 2005-08-19
Submitted: 2012-12-28

Abstract

Introduction: Patients who receive oral anticoagulants generally undergo oral surgery procedures, especially teeth extractions. Because the withdrawal of anticoagulant therapy may lead to severe thromboembolic complications, an attempt to perform oral surgery procedures without discontinuation of anticoagulation, based on the published reports, was made. Aim: To present our own experience with the maintenance of anticoagulant therapy with oral coumarin-type drugs and/or acetylsalicylic acid in patients with cardiovascular diseases who undergo oral surgical procedures. Methods: The group consisted of 40 patients (12 females and 28 males) aged 39-83 years (mean age 58 years) hospitalised in the 1st Department of Oral and Maxillofacial Surgery in Zabrze from January 2000 to June 2003. The following paper presents the results of the treatment of patients with cardiovascular diseases, who are on oral coumarin-type anticoagulants and/or acetylsalicylic acid, performed without modification of the treatment/anticoagulant therapy. Results: The level of anticoagulation defined as the INR (International Normalized Ratio) and measured in all patients on the day of surgery ranged from 1.0 to 4.0. Activated Partial Thromboplastin Time (aPTT) was between 26 and 88 seconds, with a reference range in healthy subjects of 42-65 seconds. The prothrombin time ratio ranged from 26% to 100% (N: 80-120%). Only 8% of patients developed minor bleeding complications which were promptly controlled with additional haemostasis. Conclusions: Teeth extractions and other oral surgical procedures may be performed without discontinuation of anticoagulants.

Abstract

Introduction: Patients who receive oral anticoagulants generally undergo oral surgery procedures, especially teeth extractions. Because the withdrawal of anticoagulant therapy may lead to severe thromboembolic complications, an attempt to perform oral surgery procedures without discontinuation of anticoagulation, based on the published reports, was made. Aim: To present our own experience with the maintenance of anticoagulant therapy with oral coumarin-type drugs and/or acetylsalicylic acid in patients with cardiovascular diseases who undergo oral surgical procedures. Methods: The group consisted of 40 patients (12 females and 28 males) aged 39-83 years (mean age 58 years) hospitalised in the 1st Department of Oral and Maxillofacial Surgery in Zabrze from January 2000 to June 2003. The following paper presents the results of the treatment of patients with cardiovascular diseases, who are on oral coumarin-type anticoagulants and/or acetylsalicylic acid, performed without modification of the treatment/anticoagulant therapy. Results: The level of anticoagulation defined as the INR (International Normalized Ratio) and measured in all patients on the day of surgery ranged from 1.0 to 4.0. Activated Partial Thromboplastin Time (aPTT) was between 26 and 88 seconds, with a reference range in healthy subjects of 42-65 seconds. The prothrombin time ratio ranged from 26% to 100% (N: 80-120%). Only 8% of patients developed minor bleeding complications which were promptly controlled with additional haemostasis. Conclusions: Teeth extractions and other oral surgical procedures may be performed without discontinuation of anticoagulants.
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Keywords

anticoagulants; oral surgery

About this article
Title

Oral surgery procedures in patients on anticoagulants. Preliminary report

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 63, No 8 (2005)

Pages

137-140

Published online

2005-08-19

Bibliographic record

Kardiol Pol 2005;63(8):137-140.

Keywords

anticoagulants
oral surgery

Authors

Agata Cieślik-Bielecka
Ryszard Pelc
Tadeusz Cieślik

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