Thromboinflammatory response and predictors of outcomes in patients undergoing transcatheter aortic valve replacement

Travis R. Sexton, Eric L. Wallace, Amy Chen, Richard J. Charnigo, Hassan K. Reda, Khaled M. Ziada, John C. Gurley, Susan S. Smyth

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

Transcatheter aortic valve replacement (TAVR) has been increasingly used to treat patients with symptomatic aortic stenosis. Despite improvements in valve deployment, patients that have undergone TAVR are at high risk for major adverse events following the procedure. Blood cell numbers, platelet function, and biomarkers of systemic inflammation were analyzed in 58 patients undergoing TAVR with the Edward’s SAPIEN valve. Following valve deployment, platelet count and agonist-induced platelet activity declined and plasma markers of systemic inflammation (interleukin-6 and S100A8/A9) increased. Baseline platelet activity prior to TAVR correlated with perioperative changes plasma interleukin-6 levels. Moreover, perioperative changes in plasma inflammatory markers predicted the decline in platelet count in the days following the TAVR procedure. Additionally, a significant effect of gender on platelet count following TAVR and was observed. Finally, post-procedural mortality was associated with sustained thrombocytopenia after TAVR. Our findings suggest that TAVR elicits a thromboinflammatory state that may contribute to post-procedural thrombocytopenia. Importantly, our results add to the growing body of literature that suggests the thromboinflammatory changes that occur early after TAVR may predict long-term outcomes.

Original languageEnglish
Pages (from-to)384-393
Number of pages10
JournalJournal of Thrombosis and Thrombolysis
Volume41
Issue number3
DOIs
StatePublished - Apr 1 2016

Bibliographical note

Publisher Copyright:
© 2016, Springer Science+Business Media New York.

Keywords

  • Inflammation
  • Inflammation
  • Platelet
  • Transcutaneous aortic valve replacement

ASJC Scopus subject areas

  • Hematology
  • Cardiology and Cardiovascular Medicine

Fingerprint

Dive into the research topics of 'Thromboinflammatory response and predictors of outcomes in patients undergoing transcatheter aortic valve replacement'. Together they form a unique fingerprint.

Cite this