Aspirin, Plavix, and Other Antiplatelet Medications: What the Oral and Maxillofacial Surgeon Needs to Know

Andre E Ghantous; Elie M Ferneini

doi:10.1016/j.coms.2016.06.003

Aspirin, Plavix, and Other Antiplatelet Medications: What the Oral and Maxillofacial Surgeon Needs to Know

Oral Maxillofac Surg Clin North Am. 2016 Nov;28(4):497-506. doi: 10.1016/j.coms.2016.06.003. Epub 2016 Aug 29.

Authors

Andre E Ghantous¹, Elie M Ferneini²

Affiliations

¹ Division of Cardiology, Department of Medicine, Yale University School of Medicine, 333 Cedar St., New Haven, CT 06510, USA.
² Private Practice, Greater Waterbury OMS, 435 Highland Avenue, Suite 100, Cheshire, CT 06410, USA; Beau Visage Med Spa, 435 Highland Avenue, Suite 100, Cheshire, CT 06410, USA; Division of Oral and Maxillofacial Surgery, Department of Craniofacial Sciences, University of Connecticut, 263 Farmington Avenue, Farmington, CT 06030, USA. Electronic address: eferneini@yahoo.com.

PMID: 27595478
DOI: 10.1016/j.coms.2016.06.003

Abstract

Most patients with coronary artery disease and peripheral vascular disease are on long-term antiplatelet therapy and dual therapy. Achieving a balance between ischemic and bleeding risk remains an important factor in managing patients on antiplatelet therapy. For most outpatient surgical procedures, maintenance and continuation of this therapy are recommended. Consultation with the patient's cardiologist, physician, and/or vascular surgeon is always recommended before interrupting or withholding this treatment modality.

Keywords: Angioplasty; Antiplatelet therapy; Aspirin; Bleeding; Cardiac stenting; Clopidogrel; Coronary artery disease; Myocardial infarction.

Publication types

Review

MeSH terms

Aspirin / administration & dosage*
Aspirin / therapeutic use
Clopidogrel
Coronary Artery Disease / drug therapy
Humans
Medication Therapy Management
Oral Surgical Procedures*
Peripheral Vascular Diseases / drug therapy
Platelet Aggregation Inhibitors / administration & dosage*
Platelet Aggregation Inhibitors / therapeutic use
Ticlopidine / administration & dosage
Ticlopidine / analogs & derivatives*
Ticlopidine / therapeutic use

Substances

Platelet Aggregation Inhibitors
Clopidogrel
Ticlopidine
Aspirin