Oral surgery use of tachocomb in anticoagulated prosthetic heart valves patients

Dimova, Cena and Papakoca, Kiro and Kocev, Pavle and Milosev, Vladimir and Evrosimovska, Biljana (2014) Oral surgery use of tachocomb in anticoagulated prosthetic heart valves patients. In: Third Balkan and International Congress for Oral and Maxillofacial surgery, 24-27 Apr 2014, Ohrid, Macedonia.

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Abstract

The individuals with implanted prosthetic heart valves (PHV) belong in the group of patients with high risk from several aspects. Medical risk assessment of these patients consists of three segments: 1. cardiac function and safe dental and oral surgery treatment, 2. existing risk of potential development and prevention from infective endocarditis, and 3. the potential for altered hemostasis in patients prescribed anticoagulant medications.
The aim of this study was to show the specific oral surgery approach and treatment of patients with PHV using TachoComb for topical treatment of bleeding after oral surgery procedures.
The research included 60 anticoagulated prosthetic heart valves patients undergoing oral surgery. The pre oral surgery investigations included laboratory blood examination and antibiotic prophylaxis (according to AHA protocol).
Detail anamnesis, inspection and X ray examination have been provided on the entire examined person. Forty five oral surgery interventions have been made. The oral anticoagulants have been interrupted before the interventions and low molecular weight heparin (LMWH) has been included (bridging therapy), before and after the interventions. Definitive local homeostasis has been accomplished with TachoComb as a haemostatic modality (topical treatment of bleeding).
The hemorrhage (bleeding index 1) was in 4 (6.66%) individuals at the first day. On the second day and the next days complications such as prolonged bleeding, development of infective endocarditis and thromboembolism episode have not been established.
Selective approach and preparation as well as interdisciplinary cooperation with the cardiologists are the base for safe and quality oral surgery treatment of prosthetic heart valves patients.

Key words: tooth extraction, oral surgery, prosthetic heart valves, oral anticoagulants, infective endocarditis, fibrin glue, antibotherapy, bacteriemia.

Item Type:	Conference or Workshop Item (Poster)
Subjects:	Medical and Health Sciences > Basic medicine Medical and Health Sciences > Clinical medicine Medical and Health Sciences > Health sciences Medical and Health Sciences > Other medical sciences
Divisions:	Faculty of Medical Science
Depositing User:	Cena Dimova
Date Deposited:	06 May 2014 09:33
Last Modified:	06 May 2014 09:33
URI:	https://eprints.ugd.edu.mk/id/eprint/9883

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