Leukocyte- and platelet-rich fibrin (LPRF) is a type of autologous platelet concentrate that has been gaining popularity in recent years for its potential to stimulate tissue regeneration and accelerate wound healing. LPRF is derived from the patient’s own blood and contains a high concentration of platelets and leukocytes, which are important for the immune response and tissue regeneration. The process of obtaining LPRF involves drawing a small amount of blood from the patient and then processing it to concentrate the platelets and leukocytes into a fibrin clot matrix. This matrix can then be used in various medical and dental applications, such as periodontal and implant surgeries, oral and maxillofacial surgeries, and orthopedic procedures. One of the advantages of LPRF over other types of platelet concentrates, such as platelet-rich plasma (PRP), is that it contains a higher concentration of leukocytes. Leukocytes are important for the immune response and tissue regeneration, and their presence in LPRF may enhance the healing process. Additionally, LPRF has a longer lifespan than PRP and can be molded to fit the shape of the surgical site, allowing for better tissue integration. Several studies have investigated the efficacy of LPRF in various applications. A study published in the Journal of Periodontology found that LPRF improved wound healing and reduced pain and swelling in patients undergoing periodontal surgery. Another study published in the Journal of Maxillofacial Surgery found that LPRF enhanced bone regeneration in patients undergoing maxillofacial surgery. Despite the promising results of these studies, the use of LPRF is still a relatively new procedure, and more research is needed to determine its efficacy and potential side effects. As with any medical procedure, patients should discuss the risks and benefits with their healthcare provider before undergoing LPRF treatment. In conclusion, LPRF is a promising treatment option for tissue regeneration and wound healing. Its high concentration of platelets and leukocytes may enhance the healing process, and its ability to be molded to fit the shape of the surgical site may improve tissue integration. While more research is needed to fully understand its efficacy and potential side effects, LPRF has shown promising results in various medical and dental applications.
Angioplasty & Stenting
- The angioplasty and stenting procedure is designed to re-open the inside of a blocked
coronary artery and improve blood flow to the heart muscle. - During angioplasty, a tiny balloon is inflated and deflated to crack and compress plaque
buildup inside a diseased artery. - Once an angioplasty has widened the artery, a tiny mesh-metal tube called a stent can be
placed inside the artery to prevent the artery from collapsing or being closed off by plaque
again. - Angioplasty is indicated for people who have one or more of the following:
o Significant blockage in one or two coronary arteries
o Angina pectoris
o A risk of having a heart attack
In less advanced cases, medication is the first line of treatment; when atherosclerosis is
advanced or does not respond to medication, angioplasty and stenting are
recommended.
Antiarrhythmic Therapy
- An arrhythmia is a change in the heart’s normal rate or rhythm.
- When an arrhythmia occurs repeatedly over time or causes symptoms such as
palpitations, lightheadedness, fainting (syncope), shortness of breath, or chest pain, it
requires treatment. - Antiarrhythmic drug treatment is designed to suppress arrhythmias by treating the
underlying cause of arrhythmia, to prevent conditions that contribute to arrhythmias, and
to manage arrhythmia symptoms. - Common medications used to treat arrhythmias include a category of drugs referred to
as antiarrhythmic agents, beta-blockers, calcium channel blockers, and digitalis.
Anti-anginal Therapy
- Angina pectoris is chest pain or discomfort. It results from coronary heart disease, an
accumulation of plaque inside the coronary blood vessels that reduces blood flow to the
heart. - The pain or tightness associated with angina results from ischemia, the lack of oxygencarrying blood reaching the heart.
- The goals of angina medication and treatment are to relieve ischemia, thereby
reducing the frequency and severity of angina attacks and preventing a heart attack. - Medications that control angina symptoms and ischemia include nitrates, beta-blockers,
and calcium channel blockers. To treat the underlying coronary heart disease, Dr. Adem
uses antiplatelets, lipid-lowering agents, and drugs to control high blood pressure and
diabetes.
Antihypertensive Therapy
- Hypertension is high blood pressure that persists over time.
- In certain cases of hypertension, lifestyle modifications such as diet changes and exercise
can be an effective first line of treatment. - Physicians often prescribe antihypertensive medication to prevent hypertension from
progressing to more severe hypertension, and in the process help protect against stroke
and coronary events such as heart attack or angina, congestive heart failure, and kidney
disease.
Antithrombotic Therapy
- The term thrombosis indicates the formation of a thrombus, a type of blood clot.
- Thrombi can form on the wall of a blood vessel or in one of the chambers of the heart.
When a thrombus obstructs blood flow to the heart or head, it can result in a heart attack
or stroke. - Antithrombotic drugs include anticoagulants, which prevent blood from clotting, and
antiplatelets, which prevent tiny discs that circulate in the blood (platelets), from sticking
to blood vessel walls and to one another. - The goals of antithrombotic therapy are to block the formation of new clots, prevent the
growth of existing clots, and reduce a person’s risk of complications from blood clots.
Atherectomy
- An atherectomy is a procedure that mechanically removes plaque and other debris that
can block arteries throughout the body. Dr. Adem clears a clogged artery by cutting,
shaving, or vaporizing the plaque that is blocking a blood vessel. The device used to
perform an atherectomy is attached to a thin tube called a catheter. - Atherectomies can be used to widen arteries that have closed following a balloon
angioplasty or treatment with stents. - Atherectomy treats diseased coronary arteries. It is less commonly used in arteries
outside the heart. - Factors Dr. Adem considers when deciding whether to perform atherectomy include:
o The location or shape of plaque deposit
o The size or anatomy of the patient’s arteries
o Whether the plaque is exceptionally hard, or calcified
o Whether clots are present in the artery
Cardiac Defibrillator Implantation
- The implantable cardiac defibrillator is an electronic device placed in the body to help
people who have life-threatening arrhythmias (heartbeat irregularities). It is a device that
sends an electric shock through the heart muscle to restore a normal heartbeat. - An implantable cardioverter defibrillator, or ICD, is a small device that is implanted under
the skin in the upper chest and connected to the heart with wires called leads. - Many who have survived a cardiac arrest and certain people with a high risk of developing
arrhythmias called ventricular fibrillation or life-threatening ventricular tachycardia are
generally considered candidates for ICD. - The implantable defibrillator can
o Keep track of heart rhythms
o Send out electrical pulses and shocks when needed
o Record heart rhythm
o Record the pulses and shocks the defibrillation device sends out
Cardiopulmonary Resuscitation
- During cardiac arrest, also known as sudden cardiac death, the heart stops beating and a
person is unable to breathe. - Cardiopulmonary resuscitation, or CPR, is an emergency technique applied to supply
oxygen to the brain and other vital organs of a person whose heart has stopped pumping
on its own. - CPR involves repeated manual chest compressions alternated with breathing into a
person’s mouth. This mimics the heart’s natural pumping and keeps oxygenated blood
circulating to the brain and other vital organs. - CPR incorporates two primary therapies:
o Basic life support, often referred to as emergency CPR, which includes breathing and
chest compressions; and
o Advanced cardiac life support, which includes electric shock defibrillation, drugs,
artificial respiration and other medical interventions.
Comprehensive Atrial Fibrillation Therapy
- Atrial fibrillation (AF) is an arrhythmia, a disturbance in the heart’s rate or rhythm.
- In atrial fibrillation, the electrical signal that normally causes the atria (the heart’s upper
chambers) to contract in an organized fashion circles through the muscles of the atria in
an uncoordinated manner. This causes the atria to quiver, sometimes more than 400
times per minute, without contracting. At the same time, this might drive the rate of the
ventricles (the lower chambers of the heart), resulting in an irregular fast heart rate. - Left untreated, AF can lead to cardiomyopathy (enlarged heart), heart failure, or stroke.
- Treatment of AF aims to eliminate the factors that could be causing the AF, control the
heart rate, maintain heart rhythm, and prevent strokes. Treatment for atrial fibrillation
includes medication (pharmacologic) and non-pharmacologic methods such as
interventional procedures or surgery.