Oral surgical management of patients with mechanical circulatory support.

Abstract:

:After the introduction of mechanical circulatory support (MCS) for treatment of patients with severe cardiogenic shock, the survival rate of these patients increased significantly. Temporary MCS may be applied over a period of several days up to months prior to heart transplantation (HTx). Oral surgical management of patients with MCS is seriously complicated by a combination of anticoagulant and antiaggregant medication. Moreover, contact of blood with artificial surfaces, i.e. polyurethane and silicone, may increase the risk of thromboembolic events and infections. A total of 32 patients with MCS (29 men and three women with a median age 48 years [range 27-60 years]) were examined for odontogenic foci, treatment needs and local and cardiovascular complications after oral surgical intervention. In 27 patients (84%) at least one potential focus was diagnosed. Following tooth extraction 4 out of 6 patients presented with local haemorrhage (n=3) and thromboembolic events (n=2). Generally MCS has to be considered a relative contraindication for elective oral surgical interventions.

authors

Lund JP,Drews T,Hetzer R,Reichart PA

doi

10.1054/ijom.2002.0228

subject

Has Abstract

pub_date

2002-12-01 00:00:00

pages

629-33

issue

6

eissn

0901-5027

issn

1399-0020

pii

S0901-5027(02)90228-6

journal_volume

31

pub_type

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