Yıl: 2013 Cilt: 30 Sayı: 1 Sayfa Aralığı: 19 - 24 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The effectiveness of a new hemostatic agent (Ankaferd Blood Stopper) for the control of bleeding following tooth extraction in hemophilia: A controlled clinical trial

Öz:
Amaç: Yeni bir hemostatik ajan olan Ankaferd Blood Stopper (ABS)’ın hemofili hastalarında diş çekimi sonrası kanama kontrolüne etkisini değerlendirmek. Gereç ve Yöntemler: 27 hemofili hastasının basit diş çekimleri gerçekleştirildi ve 17 hastaya ABS uygulandı. Kontrol grubunda (n=10) lokal hemostaz gaz tampon uygulanarak sağlandı. ABS ile tedavi edilen grupta (tedavi grubu) lokal hemostaz ABS’nin çekim soketine uygulanması ile sağlanmıştır. Bulgular: 27 hemofili hastasından toplam 57 (21 süt ve 36 sürekli) diş çekimi gerçekleştirildi. Gruplar arasında yaş ve Faktör VIII seviyeleri açısından istatiksel olarak anlamlı fark bulunamamıştır (p>0,05). Gruplar arasında en önemli klinik farklılık ABS kullanımı ile ilişkilidir. ABS uygulanan grubun kanama süresi daha düşüktür (p=0,002). Sonuç: Bu çalışma hemofili hastalarında diş çekimi sonrasında ABS’nin etkinliğini değerlendiren ilk çalışmadır. ABS hemofili hastalarında pıhtılaşma faktörü uygulama oranını azaltmak için alternatif bir hemostatik ajan olarak düşünülebilir.
Anahtar Kelime:

Konular: Hematoloji

Hemofililerde yeni bir hemostatik Ajanın (Ankaferd Blood Stopper) diş çekimi sonrası kanama kontrolüne etkisi: Kontrollü bir klinik çalışma

Öz:
Objective: To assess the hemostatic efficacy of a new local hemostatic agent, Ankaferd Blood Stopper (ABS), for the control of bleeding following tooth extraction in hemophiliacs. Materials and Methods: Simple tooth extractions were performed in 27 hemophilia A patients. In the treatment group (n=17) local hemostasis was achieved via application of ABS to the extraction sockets, whereas in the control group (n=10) local hemostasis was achieved via direct packing with gauze. Results: In all, 57 (21 primary and 36 permanent) teeth extractions were performed in 27 hemophilia A patients. There were no significant differences in age or factor VIII level distribution between the 2 groups (p>0.05). The most significant clinical difference between the groups was associated with the use of ABS; those in the treatment group had significantly shorter duration of bleeding (p=0.002). Conclusion: This is the first study to evaluate the efficacy of ABS for the control of bleeding following tooth extraction in hemophiliacs. ABS can be considered an alternative local hemostatic agent for reducing clotting factor concentrates in hemophilia patients.
Anahtar Kelime:

Konular: Hematoloji
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. van Bladel ER, Roest M, de Groot PG, Schutgens RE. Up- regulation of platelet activation in hemophilia A. Haematologica 2011;96:888-895.
  • 2. Israels S, Scwertz N, Boyar R, McNicol A. Bleeding disorders: characterization, dental considerations and managements. J Can Dent Assoc 2006;72:827.
  • 3. Gupta A, Epstein JB, Cabay RJ. Bleeding disorders of importance in dental care and related patient management. J Can Dent Assoc 2007;73:77-83.
  • 4. Zanon E, Martinelli F Bacci C, Zerbinati P, Girolami A. Proposal of a standard approach to dental extraction in hemophilia patients. A case-control study with good results. Hemophilia 2000:6:533-536.
  • 5. Karakaya K, Ucan HB, Tascılar O, Emre AU, Cakmak GK, Irkorucu O, Ankarali H, Comert M. Evaluation of a new hemostatic agent Ankaferd Blood Stopper in experimental liver laceration. J Invest Surg 2009;22:201-206.
  • 6. Bilgili H, Kosar A, Kurt M, Onal IK, Goker H, Captug O, Shorbagi A, Turgut M, Kekilli M, Kurt OK, Kirazli S, Aksu S, Haznedaroglu IC. Hemostatic efficacy of Ankaferd Blood Stopper in a swine bleeding model. Med Princ Pract 2009;18:165-169.
  • 7. Goker H, Haznedaroglu IC, Ercetin S, Kirazli S, Akman U, Ozturk Y, Fırat HC. Haemostatic actions of the folkloric medicinal plant extract, Ankaferd blood stopper. J Int Med Res 2008;36:163-170.
  • 8. Baykul T, Alanoglu EG, Kocer G. Use of Ankaferd Blood Stopper as a hemostatic agent: a clinical experience. J Contemp Dent Pract 2010;11:E088-94.
  • 9. Carter G, Goss AN, Lloyd J, Tocchetti R. Current concepts of the management of dental extractions for patients taking warfarin. Aust Dent J 2003;2:89-96.
  • 10. Gupta A, Epstein JB, Cabay RJ. Bleeding disorders of importance in dental care and related patient management. J Can Dent Assoc 2007;73:77-83.
  • 11. Hewson I, Makhmalbaf P, Street A, McCarthy P, Walsh M. Dental surgery with minimal factor support in the inherited bleeding disorder population at the Alfred Hospital. Hemophilia 2011;17:185-188.
  • 12. Brewer A, Correa MA. Guidelines for dental treatment of patients with inherited bleeding disorders. World Federation of Hemophilia 2006;40:1-9.
  • 13. Mancuso ME, Santagostino E. Dental surgery in inherited bleeding disorders with minimal factor support: commentary. Hemophilia 2011;17:183-184.
  • 14. Zusman SP, Lustig JP, Baston I. Postextraction hemostasis in patients without reducing the dose of oral anticoagulant: the use of fibrin sealant. Quitessence Int 1992;23:713-716.
  • 15. Federici AB, Sacco R, Stabile F Carpenedo M, Zingaro E, Mannucci PM. Optimizing local therapy during oral surgery in patients with von Willebrand disease: effective results from a retrospective analysis of 63 cases. Hemophilia 2000;6:71-77.
  • 16. Öner AF Doğan M, Kaya A, Sal E, Bektaş MS, Yesilmen O, Ayhan H, Acikgoz M. New coagulant agent (Ankaferd Blood Stopper) for open hemorrhages in hemophilia with inhibitor. Clin Appl Thromb Hemost 2010;16:705-707.
  • 17. Cipil H, Kosar A, Kaya A, Uz B, Haznedaroğlu IC, Goker H, Ozdemir O, Koroglu M, Kirazli S, Firat HC. In vivo hemostatic effect of the medicinal plant extract Ankaferd blood stopper in rats pretreated with warfarin. Clin Appl Thromb Hemost 2009;15:270-276.
  • 18. Kurt M, Disibeyaz S, Akdogan M, Sasmaz N, Aksu S, Haznedaroglu IC. Endoscopic application of Ankaferd blood stopper as a novel experimental treatment modality for upper gastrointestinal bleeding: a case report. Am J Gastroenterol 2008;103:2156-2158.
  • 19. Ibis M, Kurt M, Onal IK, Haznedaroglu IC. Successful management of bleeding due to solitary rectal ulcer via topical application of Ankaferd blood stopper. J Altern Complement Med 2008;14:1073-1074.
  • 20. Kurt M, Kacar S, Onal IK, Akdogan M, Haznedaroglu IC. Ankaferd blood stopper as an effective adjunctive hemostatic agent for the management of life threatening arterial bleeding of the digestive tract. Endoscopy 2008;40 Suppl 2:E262.
  • 21. Fisgin NT, Cayci YT, Coban AY, Ozatli D, Tanyel E, Durupinar B, Tulek N. Antimicrobial activity of plant extract Ankaferd Blood Stopper®. Fitoterapia 2009;80:48-50.
  • 22. Baykul T, Alanoglu EG, Kocer G. Use of Ankaferd Blood Stopper as a hemostatic agent: a clinical experience. J Contemp Dent Pract 2010;11:E088-94.
  • 23. Cakarer S, Eyüpoglu E, Ozçamur Günes C, Gürkan Küseoglu B, Koçak Berberoglu H, Keskin C. Evaluation of the hemostatic effects of Ankaferd Blood Stopper during dental extractions in patients on antithrombotic therapy. Clin Appl Thromb Hemost 2013;19:96-99.
APA KAZANCIOĞLU H, ÇAKIR O, Ak G, Zulfikar B (2013). The effectiveness of a new hemostatic agent (Ankaferd Blood Stopper) for the control of bleeding following tooth extraction in hemophilia: A controlled clinical trial. , 19 - 24.
Chicago KAZANCIOĞLU Hakkı Oğuz,ÇAKIR Onur,Ak Gülsüm,Zulfikar Bulent The effectiveness of a new hemostatic agent (Ankaferd Blood Stopper) for the control of bleeding following tooth extraction in hemophilia: A controlled clinical trial. (2013): 19 - 24.
MLA KAZANCIOĞLU Hakkı Oğuz,ÇAKIR Onur,Ak Gülsüm,Zulfikar Bulent The effectiveness of a new hemostatic agent (Ankaferd Blood Stopper) for the control of bleeding following tooth extraction in hemophilia: A controlled clinical trial. , 2013, ss.19 - 24.
AMA KAZANCIOĞLU H,ÇAKIR O,Ak G,Zulfikar B The effectiveness of a new hemostatic agent (Ankaferd Blood Stopper) for the control of bleeding following tooth extraction in hemophilia: A controlled clinical trial. . 2013; 19 - 24.
Vancouver KAZANCIOĞLU H,ÇAKIR O,Ak G,Zulfikar B The effectiveness of a new hemostatic agent (Ankaferd Blood Stopper) for the control of bleeding following tooth extraction in hemophilia: A controlled clinical trial. . 2013; 19 - 24.
IEEE KAZANCIOĞLU H,ÇAKIR O,Ak G,Zulfikar B "The effectiveness of a new hemostatic agent (Ankaferd Blood Stopper) for the control of bleeding following tooth extraction in hemophilia: A controlled clinical trial." , ss.19 - 24, 2013.
ISNAD KAZANCIOĞLU, Hakkı Oğuz vd. "The effectiveness of a new hemostatic agent (Ankaferd Blood Stopper) for the control of bleeding following tooth extraction in hemophilia: A controlled clinical trial". (2013), 19-24.
APA KAZANCIOĞLU H, ÇAKIR O, Ak G, Zulfikar B (2013). The effectiveness of a new hemostatic agent (Ankaferd Blood Stopper) for the control of bleeding following tooth extraction in hemophilia: A controlled clinical trial. Turkish Journal of Hematology, 30(1), 19 - 24.
Chicago KAZANCIOĞLU Hakkı Oğuz,ÇAKIR Onur,Ak Gülsüm,Zulfikar Bulent The effectiveness of a new hemostatic agent (Ankaferd Blood Stopper) for the control of bleeding following tooth extraction in hemophilia: A controlled clinical trial. Turkish Journal of Hematology 30, no.1 (2013): 19 - 24.
MLA KAZANCIOĞLU Hakkı Oğuz,ÇAKIR Onur,Ak Gülsüm,Zulfikar Bulent The effectiveness of a new hemostatic agent (Ankaferd Blood Stopper) for the control of bleeding following tooth extraction in hemophilia: A controlled clinical trial. Turkish Journal of Hematology, vol.30, no.1, 2013, ss.19 - 24.
AMA KAZANCIOĞLU H,ÇAKIR O,Ak G,Zulfikar B The effectiveness of a new hemostatic agent (Ankaferd Blood Stopper) for the control of bleeding following tooth extraction in hemophilia: A controlled clinical trial. Turkish Journal of Hematology. 2013; 30(1): 19 - 24.
Vancouver KAZANCIOĞLU H,ÇAKIR O,Ak G,Zulfikar B The effectiveness of a new hemostatic agent (Ankaferd Blood Stopper) for the control of bleeding following tooth extraction in hemophilia: A controlled clinical trial. Turkish Journal of Hematology. 2013; 30(1): 19 - 24.
IEEE KAZANCIOĞLU H,ÇAKIR O,Ak G,Zulfikar B "The effectiveness of a new hemostatic agent (Ankaferd Blood Stopper) for the control of bleeding following tooth extraction in hemophilia: A controlled clinical trial." Turkish Journal of Hematology, 30, ss.19 - 24, 2013.
ISNAD KAZANCIOĞLU, Hakkı Oğuz vd. "The effectiveness of a new hemostatic agent (Ankaferd Blood Stopper) for the control of bleeding following tooth extraction in hemophilia: A controlled clinical trial". Turkish Journal of Hematology 30/1 (2013), 19-24.