Blood biomarkers of progressive atherosclerosis and restenosis after stenting of symptomatic intracranial artery stenosis View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2021-08-02

AUTHORS

Melanie Haidegger, Markus Kneihsl, Kurt Niederkorn, Hannes Deutschmann, Harald Mangge, Christian Vetta, Michael Augustin, Gerit Wünsch, Simon Fandler-Höfler, Susanna Horner, Christian Enzinger, Thomas Gattringer

ABSTRACT

In-stent restenosis (ISR) represents a major complication after stenting of intracranial artery stenosis (ICAS). Biomarkers derived from routine blood sampling including C-reactive protein (CRP), neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR) and mean platelet volume (MPV) have been associated with progressive atherosclerosis. We investigated the role of CRP, NLR, PLR and MPV on the development of intracranial ISR and recurrent stroke risk. We retrospectively included all patients who had undergone stenting of symptomatic ICAS at our university hospital between 2005 and 2016. ISR (≥ 50% stenosis) was diagnosed by regular Duplex sonography follow-up studies and confirmed by digital subtraction angiography or computed tomography angiography (mean follow-up duration: 5 years). Laboratory parameters were documented before stenting, at the time of restenosis and at last clinical follow-up. Of 115 patients (mean age: 73 ± 13 years; female: 34%), 38 (33%) developed ISR. The assessed laboratory parameters did not differ between patients with ISR and those without (p > 0.1). While ISR was associated with the occurrence of recurrent ischemic stroke (p = 0.003), CRP, NLR, PLR and MPV were not predictive of such events (p > 0.1). Investigated blood biomarkers of progressive atherosclerosis were not predictive for the occurrence of ISR or recurrent ischemic stroke after ICAS stenting during a 5-year follow-up. More... »

PAGES

15599

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/s41598-021-95135-y

DOI

http://dx.doi.org/10.1038/s41598-021-95135-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1140121450

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/34341413


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