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Incidence and predictors of myocardial and kidney injury following endovascular aortic repair: a retrospective cohort study. Can J Anaesth 2019; 66:1338-1346. [DOI: 10.1007/s12630-019-01438-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2019] [Revised: 04/29/2019] [Accepted: 05/03/2019] [Indexed: 12/19/2022] Open
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Kapetanios DM, Karkos CD, Papazoglou KO. Changes in circulating markers of coagulation and fibrinolysis after EVAR. INT ANGIOL 2018; 37:444-450. [DOI: 10.23736/s0392-9590.18.04046-4] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Arnaoutoglou E, Kouvelos G, Papa N, Karamoutsios A, Bouris V, Vartholomatos G, Matsagkas M. Platelet activation after endovascular repair of abdominal aortic aneurysm. Vascular 2015; 24:287-94. [DOI: 10.1177/1708538115596911] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Aim To investigate the effect of endovascular aneurysm repair (EVAR) on platelet (PLT) function and reveal possible associated factors. Methods Fifty consecutive patients were included. PLT count and activation (CD62P-CD36), white blood cell (WBC) count, and high sensitivity C-reactive protein (hs-CRP) were measured preoperatively, at the first and third postoperative day. Results EVAR elicited a significant reduction in PLT count from baseline to first day after EVAR ( p < 0.001), while no significant difference was noted between the first and third day. Furthermore, CD62P expression was markedly elevated at the first day after EVAR (median % positive PLTs from 13.7 at baseline to 22.1, p = 0.05), but returned to baseline levels by the third day. Maximum abdominal aortic aneurysm diameter was the only factor that significantly affected the CD62P values ( p = 0.005). Postoperative CD36 values were significantly correlated with total aneurysm volume ( p = 0.05) and were higher in endografts made from polyester ( p = 0.01). There were no correlation between PLT activation and hs-CRP, WBC, maximum temperature, and 30-day morbidity. Conclusion EVAR has elucidated a significant reduction in PLT count and increase in PLT activation at the immediate postoperative period. The type of the endograft material and the aneurysm maximum diameter and volume appear to play an important role in PLT activation.
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Affiliation(s)
- Eleni Arnaoutoglou
- Department of Anesthesiology, Medical School, University of Ioannina, Ioannina, Greece
| | - George Kouvelos
- Department of Surgery, Vascular Surgery Unit, Medical School, University of Ioannina, Ioannina, Greece
| | - Nektario Papa
- Department of Surgery, Vascular Surgery Unit, Medical School, University of Ioannina, Ioannina, Greece
| | - Achilleas Karamoutsios
- Laboratory of Haematology, Unit of Molecular Biology, University Hospital of Ioannina, Ioannina, Greece
| | - Vasilios Bouris
- Department of Surgery, Vascular Surgery Unit, Medical School, University of Ioannina, Ioannina, Greece
| | - George Vartholomatos
- Laboratory of Haematology, Unit of Molecular Biology, University Hospital of Ioannina, Ioannina, Greece
| | - Miltiadis Matsagkas
- Department of Surgery, Vascular Surgery Unit, Medical School, University of Ioannina, Ioannina, Greece
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Trellopoulos G, Georgiadis GS, Nikolopoulos ES, Kapoulas KC, Georgakarakos EI, Lazarides MK. Antiplatelet Treatment and Prothrombotic Diathesis Following Endovascular Abdominal Aortic Aneurysm Repair. Angiology 2013; 65:783-7. [DOI: 10.1177/0003319713505139] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Prothrombotic diathesis expressed by elevated levels of coagulation-specific biomarkers has been reported in patients with abdominal aortic aneurysm (AAA) and after AAA endovascular repair (EVAR). This study investigates the effect of antiplatelet agents (APLs) on the prothrombotic diathesis in the post-EVAR period. Forty elective EVAR patients had thrombin–antithrombin complex, d-dimer, fibrinopeptide A, and high-sensitivity C-reactive protein measured before, at 24 hours, 1 month, and 6 months after EVAR. Patients receiving APLs postoperatively were compared with those not receiving APLs. All biomarkers were above the normal limits preoperatively and increased significantly 24 hours postoperatively followed by a drop at 1 and 6 months. No statistically significant changes were noted among patients receiving APLs in comparison with those not receiving APLs. The preoperative and postoperative prothrombotic diathesis of AAA following EVAR was confirmed in line with other reports. There was however no significant alteration of the examined biomarkers in patients receiving APLs.
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Affiliation(s)
- G. Trellopoulos
- Department of Vascular Surgery, Democritus University Hospital, Alexandroupolis, Greece
| | - G. S. Georgiadis
- Department of Vascular Surgery, Democritus University Hospital, Alexandroupolis, Greece
| | - E. S. Nikolopoulos
- Department of Vascular Surgery, Democritus University Hospital, Alexandroupolis, Greece
| | - K. C. Kapoulas
- Department of Vascular Surgery, Democritus University Hospital, Alexandroupolis, Greece
| | - E. I. Georgakarakos
- Department of Vascular Surgery, Democritus University Hospital, Alexandroupolis, Greece
| | - M. K. Lazarides
- Department of Vascular Surgery, Democritus University Hospital, Alexandroupolis, Greece
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