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Postoperative Bleeding Risk for Oral Surgery under Continued Clopidogrel Antiplatelet Therapy
Joint Authors
Hanken, Henning
Eichhorn, Wolfgang
Haase, Martina
Fraederich, Meike
Kluwe, Lan
Zeuch, Jürgen
Wikner, Johannes
Semmusch, Jan
Smeets, Ralf
al-Dam, Ahmed
Gröbe, Alexander
Heiland, Max
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-01-06
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Object.
To determine the incidence of postoperative bleeding for oral osteotomy carried out under continued monoantiplatelet therapy with clopidogrel and dual therapy with clopidogrel/aspirin.
Design.
Retrospective single center observatory study of two study groups and a control group.
Methods.
A total of 64 and 60 oral osteotomy procedures carried out under continued monoclopidogrel therapy and dual clopidogrel/aspirin therapy, respectively, were followed for two weeks for postoperative bleeding.
Another 281 similar procedures were also followed as a control group.
All oral osteotomy procedures were carried out on an outpatient basis.
Results.
We observed postoperative bleeding in 2/281 (0.7%) cases in the control group, in 1/64 (1.6%) cases in the clopidogrel group, and in 2/60 (3.3%) cases in the dual clopidogrel/aspirin group.
The corresponding 95% confidence intervals are 0–1.7%, 0–4.7%, and 0–7.8%, respectively, and the incidences did not differ significantly among the three groups (P>0.09).
Postoperative hemorrhage was treated successfully in all cases with local measures.
No changes of antiplatelet medication, transfusion, nor hospitalisation were necessary.
No major cardiovascular events were recorded.
Conclusions.
Our results indicate that minor oral surgery can be performed safely under continued monoantiplatelet medication with clopidogrel or dual antiplatelet medication with clopidogrel/aspirin.
American Psychological Association (APA)
Gröbe, Alexander& Fraederich, Meike& Smeets, Ralf& Heiland, Max& Kluwe, Lan& Zeuch, Jürgen…[et al.]. 2015. Postoperative Bleeding Risk for Oral Surgery under Continued Clopidogrel Antiplatelet Therapy. BioMed Research International،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1056871
Modern Language Association (MLA)
Gröbe, Alexander…[et al.]. Postoperative Bleeding Risk for Oral Surgery under Continued Clopidogrel Antiplatelet Therapy. BioMed Research International No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1056871
American Medical Association (AMA)
Gröbe, Alexander& Fraederich, Meike& Smeets, Ralf& Heiland, Max& Kluwe, Lan& Zeuch, Jürgen…[et al.]. Postoperative Bleeding Risk for Oral Surgery under Continued Clopidogrel Antiplatelet Therapy. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1056871
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1056871