2018, Number 2
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Rev Mex Angiol 2018; 46 (2)
Biomarcadores de inflamación en pacientes con enfermedad arterial crónica de extremidades inferiores post-revascularización endovascular
Bejarano-Lara J, Llamas-Macías FJ, Nuño-Escobar C, Calderón-Llamas MA
Language: Spanish
References: 13
Page: 54-60
PDF size: 132.27 Kb.
ABSTRACT
Objective. To determine the concentration of inflammatory biomarkers interleukin-6 (IL-6), soluble
vascular cytoadhesion molecule 1 (sSVCAM-1), tissue inhibitor of metalloproteinase 1 (TIMP-1) and Creactive
protein (CRP) in patients with disease peripheral arterial (PAD) before and after endovascular
revascularization surgery.
Material and methods. An analytical cross-sectional study was carried out with a sample of 20 patients.
The concentrations of IL-6, sSVCAM-1, TIMP-1 and CRP were determined by ELISA in patients
with lower limb EAP, before and after the endovascular revascularization surgery in the Service of
Angiology at the Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, from
February 01, 2017 to July 31, 2017. Inferential analysis: Wilcoxon test. It is calculated in 95%
confidence intervals. Values of p
‹ 0.05 were considered statistically significant.
Results. They are expressed in medians, with superior and inferior interquartile ranges. The median
CRP presented a revascularization of 2.645 mg /L (2.375-2.8125 mg/L). Subsequently, an average of
0.765 mg/L (0.675-0.85 mg/L). For sVCAM-1 it covers median of 498.81 ng/dL (489.9775-513.8975
ng/dL). The median after revascularization was 268.55 ng/dL (247.85-304.405 ng/dL). The baseline
median of IL-6 was 20,315 pg/mL (18.2475-21.85 pg/mL). Already revascularized, it covers median
5.93 pg/mL, (4.45-7.35 pg/mL). For TIMP-1, they obtained a prior prior to the procedure of 245.4 ng/mL
(226.8025-249.575 ng/mL); after it, we observed a decrease, with a median of 89.94 ng/mL (81.3425-
99.81 ng/mL).
Conclusion. Determination of inflammatory biomarkers is useful to help predict the response to surgical
treatment of the endovascular type.
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