DISCONTINUING ANTIPLATELET THERAPY:A LIFE THREATENING THROMBOEMBOLIC EVENT :A REVIEW

Kavin T; Narendar R; Indra Kumar SP; E.Gayathri Priyadharshini; Tamil Thangam; Thahaseen

Volume : VIII, Issue : IV, April - 2019

DISCONTINUING ANTIPLATELET THERAPY:A LIFE THREATENING THROMBOEMBOLIC EVENT :A REVIEW

Kavin T, Narendar R, Indra Kumar Sp, E. Gayathri Priyadharshini, Tamil Thangam, Thahaseen

Abstract :

The patients on anti-platelet drugs like Aspirin & Clopidogrel are often asked to stop the drug for any surgical procedures including minor dental procedures due to the fear of risk of thromboembolic events post surgery. Recent studies suggests that there is no need to discontinue the antiplatelet therapy for minor dental procedures. The individual�s bleeding time, clotting time & INR is verified & the drugs are continued during surgery. Continuing the drug will increase the risk of haemorrhage and not the risk of thromboembolic events, but discontinuing or altering the drugs will lead to cereovascular accidents & also myocardial infarction. Drugs like Warfarin can be stopped only during primary dental procedures. Even in cases where the dentist suggests to stop the drug , it should not be stopped for than 3 days.