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Interleukin 6 expression in coronary circulation after coronary angioplasty as a risk factor for restenosis

OBJECTIVE To investigate changes in cytokine expression in the coronary circulation induced by percutaneous transluminal coronary angioplasty (PTCA). METHODS The study involved 32 patients with ischaemic heart disease who underwent elective PTCA for isolated stenotic lesions of the left coronary art...

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Bibliographic Details
Published in:British heart journal 2000-07, Vol.84 (1), p.83-87
Main Authors: Hojo, Y, Ikeda, U, Katsuki, T, Mizuno, O, Fukazawa, H, Kurosaki, K, Fujikawa, H, Shimada, K
Format: Article
Language:English
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Summary:OBJECTIVE To investigate changes in cytokine expression in the coronary circulation induced by percutaneous transluminal coronary angioplasty (PTCA). METHODS The study involved 32 patients with ischaemic heart disease who underwent elective PTCA for isolated stenotic lesions of the left coronary artery. Ten patients had plain old balloon angioplasty, 10 had percutaneous transluminal rotational atherectomy, and 12 had stent implantation. Blood samples were drawn from the coronary sinus before and immediately after PTCA. Plasma concentrations of interleukin 6 (IL-6), platelet derived growth factor (PDGF), monocyte chemoattractant protein 1 (MCP-1), and macrophage coronary stimulating factor (M-CSF) were measured. The patients were scheduled for follow up angiography six months after PTCA. Late loss index was calculated using quantitative coronary angiography. RESULTS IL-6 concentrations in coronary sinus blood increased immediately after PTCA (p 
ISSN:1355-6037
0007-0769
1468-201X
DOI:10.1136/heart.84.1.83