The important role of inflammatory biomarkers pre and post bare-metal and drug-eluting stent implantation

Can J Cardiol. Nov-Dec 2012;28(6):700-5. doi: 10.1016/j.cjca.2012.05.012. Epub 2012 Jul 21.

Abstract

In-stent restenosis and stent thrombosis are major complications after percutaneous coronary intervention and coronary stent placement. The inflammatory status of an individual, as reflected by biomarkers and genetic polymorphisms, is a strong predictor of the risk of in-stent restenosis and stent thrombosis. Identifying biomarkers and studying their values are crucial for a more efficient personalized intervention. General inflammatory biomarkers, evidence of inflammation, and the difference between inflammatory biomarkers after bare-metal stent and drug-eluting stent placement are discussed. Clinical implications and the use of antiplatelet and anti-inflammatory medications, as well as future directions in coronary intervention, in reducing the occurrence of these complications, are also discussed.

Publication types

  • Review

MeSH terms

  • Biomarkers / blood*
  • Coronary Restenosis* / blood
  • Coronary Restenosis* / epidemiology
  • Coronary Restenosis* / prevention & control
  • Drug-Eluting Stents*
  • Humans
  • Inflammation / blood*
  • Percutaneous Coronary Intervention*
  • Postoperative Period
  • Preoperative Period
  • Prognosis

Substances

  • Biomarkers