[Aspirin, a risk factor for bleeding at dental procedures].
Aspirin is widely used as an antithrombotic drug in the prevention of cardiovascular events. It causes a usually mild bleeding tendency. When used before dental or surgical procedures, aspirin increases the risk of bleeding, contrary to the postoperative administration of aspirin, which has not been associated with increased risk of bleeding. To estimate the risk of bleeding, a history on bleeding tendency and information on the recent use of aspirin is worthwhile. It is recommended to delay procedures for at least one week after the last ingestion of aspirin, if possible. In case of urgent surgical procedures or in patients who suffer from serious bleeding due to the use of aspirin, a single preoperative transfusion of a suspension of platelets is usually sufficient to antagonize the effects of aspirin. Tranexamic acid can be given alternatively. The preferred policy depends on the type of the procedure to be performed, or the nature of the bleeding.
van der Meer
J
J
Afdeling Hematologie, Sectle Haemostase, Thrombose en Rheologie, Academisch Ziekenhuis, postbus 30.001, 9700 RB Groningen.
D000933:Antifibrinolytic Agents / Q000008:administration & dosage / Q000009:adverse effects*; D001241:Aspirin / Q000008:administration & dosage / Q000009:adverse effects*; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D006472:Oral Hemorrhage / Q000139:chemically induced* / Q000517:prevention & control; D019647:Oral Surgical Procedures; D011183:Postoperative Complications / Q000139:chemically induced / Q000517:prevention & control; D012307:Risk Factors; D013997:Time Factors
D000933:Antifibrinolytic Agents; D001241:Aspirin