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January 1, 2010PlateletsOpen Access

Platelet-derived microparticle levels are significantly elevated in patients treated by elective stenting compared to subjects with diagnostic catheterization alone

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Key result

Elective bare metal stenting linked to ~71% higher platelet-derived microparticles versus diagnostic catheterization.

  • P<0.05

Why the study?

Does elective stenting with bare metal stent increase platelet-derived microparticle levels and platelet activation markers compared to diagnostic catheterization alone in patients with coronary artery disease on aspirin?

Population

Patients with coronary artery disease on aspirin antiplatelet pre-treatment

Comparison

Elective stenting with bare metal stent vs Diagnostic catheterization alone

Design

Cohort

Follow-up

15 minutes

Authors

BNBéla NagyUniversity of DebrecenTSTibor SzükUniversity of DebrecenIDIldikó Beke DebreceniUniversity of Debrecen

Discussion

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Implication

May signal heightened platelet activation post-stenting despite aspirin; leaves open whether microparticle levels predict thrombotic risk in CAD.

Study Design

Type

Observational

Structured PICO

Does elective stenting with bare metal stent increase platelet-derived microparticle levels and platelet activation markers compared to diagnostic catheterization alone in patients with coronary artery disease on aspirin?

P
Population
Patients with coronary artery disease on aspirin pre-treatment undergoing elective bare metal stenting compared to subjects undergoing diagnostic catheterization alone.
E
Exposure
Elective stenting with bare metal stent
C
Comparator
Diagnostic catheterization alone
O
Outcome
Levels of platelet-derived microparticles (PMPs), platelet P-selectin expression, ratio of platelet-monocyte heterotypic aggregates, and soluble P-selectin at 15 minutes after completion of proceduresurrogate

Main Result

Absolute Event Rate: 557% vs 325%

p-value: p=< 0.05

Elective stenting with bare metal stents induces early and significant platelet activation and microparticle generation compared to diagnostic catheterization alone, despite aspirin pre-treatment.

Cite This Study

Nagy et al. (2010) conducted an observational in Coronary artery disease. Elective stenting with bare metal stent vs. Diagnostic catheterization alone was evaluated on Level of platelet-derived microparticles (PMPs) at 15 minutes after completion (p=< 0.05). Elective stenting with bare metal stents significantly elevated platelet-derived microparticle levels compared to diagnostic catheterization alone (557 vs 325/microl; p<0.05).

synapsesocial.com/papers/6aa14087ba2652e46a72dbabhttps://doi.org/10.3109/09537100903477582

Topics

Dual antiplatelet therapy
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Effects ofad hocclopidogrel loading versus pre-treatment on P-selectin expression after coronary stent implantation2006 · 3 citations
  2. 2Patterns of Presentation and Outcomes of Patients with Acute Coronary Syndromes2009 · 42 citations
  3. 3Flow cytometric measurement of microparticles: Pitfalls and protocol modifications2008 · 169 citations