The use of epsilon amino caproic acid intraalveolar to control bleeding after extraction in anticoagulated patients

• Autor(a) principal: Silva, Rosangela Varella
• Data de Publicação: 2013
• Outros Autores: Gadelha, Telma Barbosa, Franco, Isabela Cristina Mendes de Araújo, Ferreira, Marisa Francisco, Torres, Sandra Regina
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Brasileira de Odontologia
• Texto Completo: https://revista.aborj.org.br/index.php/rbo/article/view/391
• topic: cirurgia oral; anticoagulação,exodontia;ácido épsilon amino caproico.; assistencia a saude

When patients on anticoagulants are submitted to dental extractions, there is risk of postoperative bleeding. The maintenance of anticoagulant therapy has been indicate donce the INR is within the therapeutic levels. Additional resources for bleeding control like the use of epsilon amino caproic acid (EACA) may be adopted. The objective of this study was to report a series of cases of tooth extractions followed by the intra-alveolar use of EACA, in patients using anticoagulants with INR ? 3.0. From 25 tooth extractions, only one patient needed professional intervention to control postoperative bleeding. The results suggest that the use of intra-alveolar EACA, associated with routine post-surgical care, may contribute to hemostasis in patients using anticoagulants.