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001-es BibID:	BIBFORM116479
035-os BibID:	(cikkazonosító)6829 (scopus)85176548280 (WoS)001099491300001
Első szerző:	Illési Ádám (orvos)
Cím:	Technically Challenging Percutaneous Interventions of Chronic Total Occlusions Are Associated with Enhanced Platelet Activation / Illési Ádám, Fejes Zsolt, Pócsi Marianna, Debreceni Ildikó Beke, Hodosi Katalin, Nagy Jr. Béla, Kappelmayer János, Kőszegi Zsolt, Csanádi Zoltán, Szük Tibor
Dátum:	2023
ISSN:	2077-0383
Megjegyzések:	Percutaneous coronary intervention (PCI) is a frequently performed treatment option for recanalization in patients with chronic total occlusion (CTO). As CTO-PCIs are often complicated and challenging for interventionalists, the stressful and damaging nature of the procedure can be remarkable, thus platelets can be easily activated. Our aim was to investigate the effect of CTO-PCI on platelet activation and the expression of selected circulating microRNAs (miR) of platelet and endothelium origin after CTO-PCI. In this study, 50 subjects after CTO-PCI were enrolled. Blood samples were obtained before PCI, at 2 days and 3?6 months after the procedure to measure the degree of platelet activation and the level of plasma miR-223, miR-181b, and miR-126. Patients were divided based on the characteristics of the intervention. Patients with higher Japanese CTO scores and longer duration of PCI showed significantly elevated platelet P-selectin positivity (p = 0.004 and p = 0.013, respectively) 2 days after the procedure compared to pre-PCI and increased concentration of soluble P-selectin 3?6 months after the intervention (higher Japanese CTO score: p = 0.028 and longer duration of PCI: p = 0.023) compared to baseline values. Shorter total stent length caused a significantly lower miR-181b expression at 3?6 months after the intervention (p = 0.031), while no difference was observed in miR-223 and miR-126. One stent thrombosis occurred during the follow-up period. Although these technically challenging CTO-PCIs may cause enhanced platelet activation right after the intervention and long-term endothelial cell dysfunction, these interventions are not associated with more adverse clinical events.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk biomarker chronic total coronary occlusion coronary intervention microRNA platelet activation
Megjelenés:	Journal of Clinical Medicine. - 12 : 21 (2023), p. 1-14. -
További szerzők:	Fejes Zsolt (1988-) (molekuláris biológus) Pócsi Marianna (1989-) (klinikai laboratóriumi kutató) Bekéné Debreceni Ildikó (1970-) (biológus) Hódosi Katalin Nagy Béla Jr. (1980-) (labordiagnosztikai szakorvos) Kappelmayer János (1960-) (laboratóriumi szakorvos) Kőszegi Zsolt (1962-) (kardiológus, belgyógyász) Csanádi Zoltán (1960-) (kardiológus) Szűk Tibor (1967-) (kardiológus)
Pályázati támogatás:	GINOP-2.3.2-15-2016-00043 GINOP ÚNKP-22-4-II-DE-120 Egyéb
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