Inflammatory response and angiogenesis after percutaneous transmyocardial laser revascularization

Background. The aim of our study was to investigate the inflammatory response immediately after percutaneous transmyocardial laser revascularization (PTMR) along with the underlying mechanism of angiogenesis. Methods. Patients with angina pectoris underwent coronary angiography and were divided into...

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Veröffentlicht in:The Annals of thoracic surgery 2000-09, Vol.70 (3), p.1134-1138
Hauptverfasser: Bortone, Alessandro S, D’Agostino, Donato, Schena, Stefano, Rubini, Giuseppe, Brindicci, Paolino, Sardaro, Vito, D’Addabbo, Angelo, de Luca Tupputi Schinosa, Luigi
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container_issue 3
container_start_page 1134
container_title The Annals of thoracic surgery
container_volume 70
creator Bortone, Alessandro S
D’Agostino, Donato
Schena, Stefano
Rubini, Giuseppe
Brindicci, Paolino
Sardaro, Vito
D’Addabbo, Angelo
de Luca Tupputi Schinosa, Luigi
description Background. The aim of our study was to investigate the inflammatory response immediately after percutaneous transmyocardial laser revascularization (PTMR) along with the underlying mechanism of angiogenesis. Methods. Patients with angina pectoris underwent coronary angiography and were divided into two groups. Group A (n = 10) included patients with obstructed vessels who received PTMR, whereas group B (n = 5) comprised patients who had normal coronary arteries. Blood levels of neutrophils, procalcitonin, troponin-I, myoglobin, and creatine kinase (CK) mass were evaluated in each patient before angiography and monitored up to 48 hours after the procedure. Six patients were injected with 99mTc-leukoscan approximately 60 to 90 minutes after PTMR. During the 240 to 300 minutes after the radionuclide administration, single photon emission tomography (SPET) was performed and compared with conventional 99mTc-sestamibi-SPET. Results. A significant increase in blood levels of neutrophils and procalcitonin was observed in group A only ( p < 0.005). A slight but significant increase of troponin-I was evident in the same group ( p < 0.05), and a distinct myocardial uptake of 99mTc-Leukoscan-SPET was observed in each patient along homologous regions treated by PTMR. Conclusions. The increased amount of neutrophils (both circulating and inside the treated myocardial areas) along with the raised levels of procalcitonin were the immediate reactions to PTMR. This systemic and intramyocardial inflammatory response is the underlying mechanism that gives rise to angiogenesis.
doi_str_mv 10.1016/S0003-4975(00)01745-8
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The aim of our study was to investigate the inflammatory response immediately after percutaneous transmyocardial laser revascularization (PTMR) along with the underlying mechanism of angiogenesis. Methods. Patients with angina pectoris underwent coronary angiography and were divided into two groups. Group A (n = 10) included patients with obstructed vessels who received PTMR, whereas group B (n = 5) comprised patients who had normal coronary arteries. Blood levels of neutrophils, procalcitonin, troponin-I, myoglobin, and creatine kinase (CK) mass were evaluated in each patient before angiography and monitored up to 48 hours after the procedure. Six patients were injected with 99mTc-leukoscan approximately 60 to 90 minutes after PTMR. During the 240 to 300 minutes after the radionuclide administration, single photon emission tomography (SPET) was performed and compared with conventional 99mTc-sestamibi-SPET. Results. A significant increase in blood levels of neutrophils and procalcitonin was observed in group A only ( p &lt; 0.005). A slight but significant increase of troponin-I was evident in the same group ( p &lt; 0.05), and a distinct myocardial uptake of 99mTc-Leukoscan-SPET was observed in each patient along homologous regions treated by PTMR. Conclusions. The increased amount of neutrophils (both circulating and inside the treated myocardial areas) along with the raised levels of procalcitonin were the immediate reactions to PTMR. This systemic and intramyocardial inflammatory response is the underlying mechanism that gives rise to angiogenesis.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/S0003-4975(00)01745-8</identifier><identifier>PMID: 11016396</identifier><identifier>CODEN: ATHSAK</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Antibodies, Monoclonal ; Antibodies, Monoclonal, Murine-Derived ; Biological and medical sciences ; Calcitonin - blood ; Calcitonin Gene-Related Peptide ; Diseases of the cardiovascular system ; Female ; Humans ; Inflammation - etiology ; Laser Therapy ; Leukocyte Count ; Male ; Medical sciences ; Middle Aged ; Minimally Invasive Surgical Procedures ; Myocardial Revascularization ; Neovascularization, Physiologic - physiology ; Neutrophils ; Protein Precursors - blood ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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The aim of our study was to investigate the inflammatory response immediately after percutaneous transmyocardial laser revascularization (PTMR) along with the underlying mechanism of angiogenesis. Methods. Patients with angina pectoris underwent coronary angiography and were divided into two groups. Group A (n = 10) included patients with obstructed vessels who received PTMR, whereas group B (n = 5) comprised patients who had normal coronary arteries. Blood levels of neutrophils, procalcitonin, troponin-I, myoglobin, and creatine kinase (CK) mass were evaluated in each patient before angiography and monitored up to 48 hours after the procedure. Six patients were injected with 99mTc-leukoscan approximately 60 to 90 minutes after PTMR. During the 240 to 300 minutes after the radionuclide administration, single photon emission tomography (SPET) was performed and compared with conventional 99mTc-sestamibi-SPET. Results. A significant increase in blood levels of neutrophils and procalcitonin was observed in group A only ( p &lt; 0.005). A slight but significant increase of troponin-I was evident in the same group ( p &lt; 0.05), and a distinct myocardial uptake of 99mTc-Leukoscan-SPET was observed in each patient along homologous regions treated by PTMR. Conclusions. The increased amount of neutrophils (both circulating and inside the treated myocardial areas) along with the raised levels of procalcitonin were the immediate reactions to PTMR. 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Diet therapy and various other treatments (general aspects)</topic><topic>Technetium</topic><topic>Tomography, Emission-Computed, Single-Photon</topic><topic>Troponin I - blood</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bortone, Alessandro S</creatorcontrib><creatorcontrib>D’Agostino, Donato</creatorcontrib><creatorcontrib>Schena, Stefano</creatorcontrib><creatorcontrib>Rubini, Giuseppe</creatorcontrib><creatorcontrib>Brindicci, Paolino</creatorcontrib><creatorcontrib>Sardaro, Vito</creatorcontrib><creatorcontrib>D’Addabbo, Angelo</creatorcontrib><creatorcontrib>de Luca Tupputi Schinosa, Luigi</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bortone, Alessandro S</au><au>D’Agostino, Donato</au><au>Schena, Stefano</au><au>Rubini, Giuseppe</au><au>Brindicci, Paolino</au><au>Sardaro, Vito</au><au>D’Addabbo, Angelo</au><au>de Luca Tupputi Schinosa, Luigi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inflammatory response and angiogenesis after percutaneous transmyocardial laser revascularization</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>2000-09-01</date><risdate>2000</risdate><volume>70</volume><issue>3</issue><spage>1134</spage><epage>1138</epage><pages>1134-1138</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><coden>ATHSAK</coden><abstract>Background. The aim of our study was to investigate the inflammatory response immediately after percutaneous transmyocardial laser revascularization (PTMR) along with the underlying mechanism of angiogenesis. Methods. Patients with angina pectoris underwent coronary angiography and were divided into two groups. Group A (n = 10) included patients with obstructed vessels who received PTMR, whereas group B (n = 5) comprised patients who had normal coronary arteries. Blood levels of neutrophils, procalcitonin, troponin-I, myoglobin, and creatine kinase (CK) mass were evaluated in each patient before angiography and monitored up to 48 hours after the procedure. Six patients were injected with 99mTc-leukoscan approximately 60 to 90 minutes after PTMR. During the 240 to 300 minutes after the radionuclide administration, single photon emission tomography (SPET) was performed and compared with conventional 99mTc-sestamibi-SPET. Results. A significant increase in blood levels of neutrophils and procalcitonin was observed in group A only ( p &lt; 0.005). A slight but significant increase of troponin-I was evident in the same group ( p &lt; 0.05), and a distinct myocardial uptake of 99mTc-Leukoscan-SPET was observed in each patient along homologous regions treated by PTMR. Conclusions. The increased amount of neutrophils (both circulating and inside the treated myocardial areas) along with the raised levels of procalcitonin were the immediate reactions to PTMR. This systemic and intramyocardial inflammatory response is the underlying mechanism that gives rise to angiogenesis.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>11016396</pmid><doi>10.1016/S0003-4975(00)01745-8</doi><tpages>5</tpages></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Antibodies, Monoclonal
Antibodies, Monoclonal, Murine-Derived
Biological and medical sciences
Calcitonin - blood
Calcitonin Gene-Related Peptide
Diseases of the cardiovascular system
Female
Humans
Inflammation - etiology
Laser Therapy
Leukocyte Count
Male
Medical sciences
Middle Aged
Minimally Invasive Surgical Procedures
Myocardial Revascularization
Neovascularization, Physiologic - physiology
Neutrophils
Protein Precursors - blood
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Technetium
Tomography, Emission-Computed, Single-Photon
Troponin I - blood
title Inflammatory response and angiogenesis after percutaneous transmyocardial laser revascularization
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