[Anti-vitamins K and oral surgery: the end of their prohibition?].
In patients under oral anticoagulation therapy, the risk of haemorrhage following surgery must be balanced with the risk of thrombo-embolism induced by its discontinuation. Dental surgery is usually safe. Indirect anticoagulation may be continued provided rigorous surgical techniques and careful local hemostasis are applied.
Hérion
F
F
Institut médico-légal, Université de Liège.
David
J L
JL
Boxho
P
P
Rompen
E
E
D015110:4-Hydroxycoumarins; D000284:Administration, Oral; D000925:Anticoagulants / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use*; D006487:Hemostasis; D006801:Humans; D007192:Indenes; D019647:Oral Surgical Procedures / Q000009:adverse effects*; D019106:Postoperative Hemorrhage / Q000209:etiology* / Q000517:prevention & control; D012307:Risk Factors; D013923:Thromboembolism / Q000209:etiology* / Q000517:prevention & control; D014812:Vitamin K / Q000037:antagonists & inhibitors
D015110:4-Hydroxycoumarins; D000925:Anticoagulants; D007192:Indenes; C011664:antivitamins K; D014812:Vitamin K