Abstract
To determine whether the inflammatory response is equally involved in the pathogenesis
of restenosis after coronary stenting and directional coronary atherectomy, we assessed
restenotic lesions with immunohistochemical methods. Levels of C-reactive protein
and macrophages were greater in patients with in-stent restenosis than in those with
restenosis after directional coronary atherectomy. This suggests that the inflammatory
response is more involved in the pathogenesis of in-stent restenosis than in restenosis
after directional coronary atherectomy.
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References
- High-sensitive C-reactive protein. Potential adjunct for global risk assessment in the primary prevention of cardiovascular disease.Circulation. 2001; 103: 1813-1818
- Preprocedural serum levels of C-reactive protein predict early complications and late restenosis after coronary angioplasty.J Am Coll Cardiol. 1999; 34: 1512-1521
- Preprocedural C-reactive protein levels and cardiovascular events after coronary stent implantation.J Am Coll Cardiol. 2001; 37: 839-846
- Generation of C-reactive protein and complement components in atherosclerotic plaques.Am J Pathol. 2001; 158: 1039-1051
- Involvement of C-reactive protein obtained by directional coronary atherectomy in plaque instability and developing restenosis in patients with stable or unstable angina pectoris.Am J Cardiol. 2003; 91: 287-292
- Arterial remodeling after coronary angioplasty. A serial intravascular ultrasound study.Circulation. 1996; 94: 35-43
- Inflammation and restenosis in the stent era.Arterioscler Thromb Vasc Biol. 2002; 22: 1769-1776
- Mechanisms of acute gain and late lumen loss after atherectomy in different preintervention arterial remodeling patterns.Am J Cardiol. 2002; 89: 505-510
- Role of plaque proliferation in late lumen loss after directional coronary atherectomy.Circ J. 2002; 66: 362-366
- Coronary artery restenosis after atherectomy is primarily due to negative remodeling.Am J Cardiol. 1999; 84: 141-146
- Modulation of plasma fibrinogen levels by ticlopidine in healthy volunteers and patients with stable angina pectoris.Thromb Haemost. 1996; 76: 166-170
- Neointimal tissue response at sites of coronary stenting in humans.Circulation. 1998; 98: 224-233
- Pathology of acute and chronic coronary stenting in humans.Circulation. 1999; 99: 44-52
- Acute and chronic tissue response to coronary stent implantation.J Am Coll Cardiol. 2000; 35: 157-163
- Morphological predictors of restenosis after coronary stenting in humans.Circulation. 2002; 105: 2974-2980
- Angiogenesis, vascular endothelial growth factor and platelet-derived growth factor-BB expression, iron deposition, and oxidation-specific epitopes in stented human coronary arteries.Arterioscler Thromb Vasc Biol. 2001; 21: 1720-1726
- In-stent restenosis.J Am Coll Cardiol. 1998; 31: 224-230
- Enhanced extracellular matrix accumulation in restenosis of coronary arteries after stent deployment.J Am Coll Cardiol. 2002; 40: 2072-2081
- Comparison of coronary lesions obtained by directional coronary atherectomy in unstable angina, stable angina, and restenosis after either atherectomy or angioplasty.Am J Cardiol. 1995; 75: 675-682
- Possible contribution of C-reactive protein within coronary plaque to increasing its own plasma levels across coronary circulation.Am J Cardiol. 2004; 93: 611-614
Article info
Publication history
Accepted:
March 15,
2004
Received in revised form:
March 15,
2004
Received:
October 30,
2003
Footnotes
☆This study was supported in part by the Grants-in-Aid for Scientific Research on Priority Areas (B-2) and the 21st Century COE Program (Life Science) of the Ministry of Education, Science, Sports, and Culture, Tokyo, Japan.
Identification
Copyright
© 2004 Excerpta Medica Inc. Published by Elsevier Inc. All rights reserved.