Relationship between the Level of Circulating CD45+ Platelets and Development of Restenosis after Implantation of Drug-Eluting Stents to Patients with Coronary Heart Disease

Bull Exp Biol Med. 2017 Feb;162(4):524-527. doi: 10.1007/s10517-017-3653-x. Epub 2017 Feb 27.

Abstract

The study was carried out in 126 patients with stable angina pectoris, who underwent elective coronary artery stenting with drug-eluting stents and follow-up angiography within 6-12 months thereafter. Five significant risk factors of restenosis were identified by binary comparisons of different variables. The logistic regression equation that included the level of CD45-positive platelets, diabetes, small vessel stenting, number of simultaneously implanted stents in one patient, and lesion length demonstrates the highest level of prediction of in-stent restenosis (OR=22.8; p<0.001). ROC-analysis demonstrated high prognostic value of the logit model (area under ROC curve 0.87, p<0.001). The data suggest that a close relationship exists between the development of restenosis and the level of circulating CD45+ platelets.

Keywords: CD45 + platelets; coronary heart disease; drug-eluting stents; restenosis.

MeSH terms

  • Adult
  • Aged
  • Angina Pectoris / metabolism
  • Angina Pectoris / pathology*
  • Angina Pectoris / surgery
  • Blood Platelets / metabolism
  • Blood Platelets / pathology*
  • Constriction, Pathologic / diagnostic imaging
  • Constriction, Pathologic / etiology
  • Constriction, Pathologic / pathology*
  • Coronary Angiography
  • Coronary Disease / metabolism
  • Coronary Disease / pathology*
  • Coronary Disease / surgery
  • Coronary Vessels / metabolism
  • Coronary Vessels / pathology
  • Coronary Vessels / surgery
  • Diabetes Mellitus / physiopathology
  • Drug-Eluting Stents / adverse effects*
  • Female
  • Gene Expression
  • Humans
  • Leukocyte Common Antigens / genetics
  • Leukocyte Common Antigens / metabolism
  • Male
  • Middle Aged
  • ROC Curve
  • Risk Factors

Substances

  • Leukocyte Common Antigens