Activated Protein C-Protein C Inhibitor Complex in Patients With Abdominal Aortic Aneurysms: Is It Associated With Diameter and Growth Rate?

被引:16
作者
Koelbel, Tilo [1 ]
Strandberg, Karin [2 ]
Donath, Tobias [1 ]
Mattiasson, Ingrid [1 ]
Stenflo, Johan [2 ]
Lindblad, Bengt [1 ]
机构
[1] Malmo Univ Hosp, Dept Vasc Dis, S-20502 Malmo, Sweden
[2] Malmo Univ Hosp, Dept Clin Chem, S-20502 Malmo, Sweden
基金
英国医学研究理事会;
关键词
aorta; aneurysm; coagulation; thrombus;
D O I
10.1177/1538574407311108
中图分类号
R61 [外科手术学];
学科分类号
摘要
Increased thrombin activation was documented in patients with abdominal aortic aneurysm (AAA). Activated protein C-protein C inhibitor (APC-PCI) complex, a new biological marker of thrombin generation, was measured in a population of 232 patients with AAA and a control group, and the association between aneurysm size, growth rate, and APC-PCI was studied. The patients were divided into cohorts according to AAA diameter and compared with a control group. APC-PCI was significantly higher in all AAA cohorts (n = 232; median, 0.36 mu g/L; 10th to 90th percentile, 0.18-1.01) compared with the control group (n = 41; median, 0.19 mu g/L; 10th to 90th percentile, 0.11-0.31; P <= .001). APC-PCI correlated with AAA diameter (r = .22; P = .001), body mass index (r = -.19; P = .004), and age (r = .19; P = .004). APC-PCI did not correlate with AAA growth rate (r = .11; P = .14).
引用
收藏
页码:135 / 140
页数:6
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