Aplicación de un gel de ácido tranexámico en pacientes tratados con anticoagulantes orales

Ramón, J. Ripollés de; Corcuera, Marta Muñoz; Bravo-Llatas, Carmen; Bascones-Martínez, A.

doi:10.1016/j.medcli.2013.07.028

Cited by 6 publications

(6 citation statements)

References 20 publications

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“…The hemostatic agents used were Chitosan dental dressing 19 , 30 , 31 , 33 – 37 , Oxidized regenerated cellulose 6 , 27 , 32 , Tranexamic acid 20 , 21 , 24 , 28 , 29 , 38 , Fibrin sponge or adhesive 18 , 27 , 38 , Collagen plug 18 , 34 , 37 , Bismuth subgallate 18 , Gelatin sponge 19 , 22 , 23 , 26 , Feracrylum 20 , Epsilon aminocaproic acid 7 , 29 , Ankaferd blood stopper 25 , and Cyanoacrylate tissue adhesive 26 .…”

Section: Resultsmentioning

confidence: 99%

“…Sixteen studies had a group that received conventional measures, which were the application of gauze pressure 20 , 24 , 25 , 31 , 36 , 38 , cotton pressure 30 , or sutures 6 , 7 , 21 – 23 , 28 , 32 . Two studies applied gauze pressure, however, used sutures when the case necessitated 33 , 35 .…”

Section: Resultsmentioning

confidence: 99%

“…The time to reach hemostasis was reported in eleven studies. Eight of them compared a hemostatic agent with conventional measures 21 , 24 , 25 , 30 , 31 , 33 , 35 , 36 , while 3 compared different agents 26 , 34 , 37 . When the agents were compared with conventional measures, six studies stated that hemostatics led to significantly less time to reach hemostasis, whereas 2 studies did not report information about statistical significance 25 , 31 .…”

Section: Resultsmentioning

confidence: 99%

“…Thirteen studies allocated different patients for each group 7,[18][19][20][21][22][23][24][25][26][27][28][29] , while nine had a split-mouth design 6,[30][31][32][33][34][35][36][37] . In addition, one investigation had some of the patients being allocated to more than one group (split-mouth for some cases) 38 .…”

Section: Study Characteristicsmentioning

confidence: 99%

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The effect of different hemostatic agents following dental extraction in patients under oral antithrombotic therapy: a network meta-analysis

Mahardawi

Jiaranuchart

Arunjaroensuk

et al. 2023

Sci Rep

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This network meta-analysis was done to thoroughly evaluate the available literature on the use of different hemostatic agents for dental extraction in patients under oral antithrombotic therapy, aiming to identify the agent with the best/worst performance in bleeding control. Considering that such patients have a higher risk of bleeding, choosing the right hemostatic is essential. Twenty-three randomized clinical trials articles were included after completing the literature search. Cyanoacrylate tissue adhesive showed a reduction in the odds of postoperative bleeding events compared with conventional methods (i.e., gauze/cotton pressure, sutures), with a tendency toward a statistical significance (OR 0.03, P = 0.051). Tranexamic acid was the only agent that demonstrated a significantly lower risk of developing postoperative bleeding events (OR 0.27, P = 0.007). Interestingly, chitosan dental dressing and collagen plug had the shortest time to reach hemostasis. However, they ranked last among all hemostatic agents, regarding bleeding events, revealing higher odds than conventional measures. Therefore, it is concluded that the use of cyanoacrylate tissue adhesive and tranexamic acid gives favorable results in reducing postoperative bleeding events following dental extractions. Although chitosan dental dressing and collagen exhibited a faster time to reach hemostasis, they led to a higher occurrence of bleeding events.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

See 2 more Smart Citations

The effect of different hemostatic agents following dental extraction in patients under oral antithrombotic therapy: a network meta-analysis

Mahardawi

Jiaranuchart

Arunjaroensuk

et al. 2023

Sci Rep

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show abstract

“…En el perioperatorio es recomendable realizar los procedimientos en un área limitada de la cavidad oral (por cuadrantes), las punciones anestésicas deben ser hechas de manera cuidadosa utilizando técnica de aspiración y de ser posible evitando la colocación de anestesia troncular, utilizar sutura reabsorbible sin tensión, los procedimientos deben ser lo más atraumaticos posibles, la utilización de tapones hemostáticos tales como esponjas de gelatina reabsorbible, colágeno o fibrina y cera de hueso deben ser imprescindibles (10) .…”

Section: Discussionunclassified

Manejo odontológico integral de paciente con antecedentes de ictus cerebral. Reporte de un caso

et al. 2018

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Introducción: Ictus son un conjunto de patologías que afectan a los vasos sanguíneos que suministran la sangre al cerebro produciendo una alteración de la función de una determinada región de éste. El grupo de patologías son conocidas popularmente como embolias o accidentes cerebrovasculares (ACV) y se manifiestan súbitamente. Estos trastornos tienen en común su presentación brusca y suelen afectar a personas mayores, aunque también pueden presentarse en jóvenes. Objetivo: Dar a conocer a los profesionales de la salud las implicaciones y consecuencias que se deben tener en la práctica odontológica habitual y al momento de emplear tratamientos como la rehabilitación protésica fija o la colocación de implantes dentales en pacientes con cardiopatías, con la finalidad de evitar accidentes y prevenir hemorragias postoperatorias. Resultados: Se obtuvo resultados estéticos y funcionales satisfactorios en los tratamientos quirúrgicos y de rehabilitación bucal realizados al paciente. Conclusiones: Debido al riesgo de presentar accidentes cerebrovasculares normalmente están sometidos a terapia antiagregante plaquetaria, cuyo efecto secundario es la tendencia al sangrado; por ello es importante realizar un manejo multidisciplinario con el médico especialista al momento de emplear tratamientos quirúrgicos en este tipo de pacientes, con el fin de evitar complicaciones y obtener resultados adecuados.

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Effectiveness of local hemostatic to prevent bleeding in dental patients on anticoagulation: A systematic review and network meta-analysis

Moreno-Drada

Abreu

Lino

et al. 2021

Journal of Cranio-Maxillofacial Surgery

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Aplicación de un gel de ácido tranexámico en pacientes tratados con anticoagulantes orales

Cited by 6 publications

References 20 publications

The effect of different hemostatic agents following dental extraction in patients under oral antithrombotic therapy: a network meta-analysis

The effect of different hemostatic agents following dental extraction in patients under oral antithrombotic therapy: a network meta-analysis

Manejo odontológico integral de paciente con antecedentes de ictus cerebral. Reporte de un caso

Effectiveness of local hemostatic to prevent bleeding in dental patients on anticoagulation: A systematic review and network meta-analysis

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