Effects of Triple Antiplatelet Therapy (Aspirin, Clopidogrel, and Cilostazol) on Platelet Aggregation and P-Selectin Expression in Patients Undergoing Coronary Artery Stent Implantation

作者: Bong-Ki Lee , Seung-Whan Lee , Seong-Wook Park , Se-Whan Lee , Duk-Woo Park

DOI: 10.1016/J.AMJCARD.2007.03.070

关键词:

摘要: The purpose of this study was to determine the effect addition cilostazol aspirin plus clopidogrel on platelet aggregation after intracoronary stent implantation. Twenty patients who underwent coronary placement were randomly assigned therapy with (dual-therapy group, n = 10) or (triple-therapy 10). A loading dose (300 mg) and (200 administered immediately placement, (75 mg/day) (100 mg twice daily) given for 1 month. Platelet in response adenosine diphosphate (ADP; 5 20 μmol/L) collagen P-selectin (CD-62P) expression assayed at baseline, 2 hours, 24 week, month placement. Inhibition ADP-induced significantly higher receiving triple than those dual from hours inhibition collagen-induced triple-therapy group beginning week P-Selectin lower dual-therapy 30 days. In conclusion, compared antiplatelet therapy, resulted more potent induced by ADP collagen. These findings suggest that may be used clinically prevent thrombotic complications

参考文章(20)
Iris Müller, Felicitas Besta, Christian Schulz, Steffen Massberg, Albert Schönig, Meinrad Gawaz, Prevalence of clopidogrel non-responders among patients with stable angina pectoris scheduled for elective coronary stent placement. Thrombosis and Haemostasis. ,vol. 89, pp. 783- 787 ,(2003) , 10.1055/S-0037-1613462
Gilles Montalescot, Georges Sideris, Catherine Meuleman, Claire Bal-dit-Sollier, Nicolas Lellouche, Ph Gabriel Steg, Michel Slama, Olivier Milleron, Jean-Philippe Collet, Patrick Henry, Farzin Beygui, Ludovic Drouet, ALBION Trial Investigators, A randomized comparison of high clopidogrel loading doses in patients with non-ST-segment elevation acute coronary syndromes: the ALBION (Assessment of the Best Loading Dose of Clopidogrel to Blunt Platelet Activation, Inflammation and Ongoing Necrosis) trial. Journal of the American College of Cardiology. ,vol. 48, pp. 931- 938 ,(2006) , 10.1016/J.JACC.2006.04.090
Masayuki Hashiguchi, Keiko Ohno, Rieko Nakazawa, Satoshi Kishino, Mayumi Mochizuki, Tsuyoshi Shiga, Comparison of cilostazol and ticlopidine for one-month effectiveness and safety after elective coronary stenting. Cardiovascular Drugs and Therapy. ,vol. 18, pp. 211- 217 ,(2004) , 10.1023/B:CARD.0000033642.49162.04
Seong-Wook Park, Cheol Whan Lee, Hyun-Sook Kim, Hyo-Jung Lee, Hoon-Ki Park, Myeong-Ki Hong, Jae-Joong Kim, Seung-Jung Park, Comparison of cilostazol versus ticlopidine therapy after stent implantation. American Journal of Cardiology. ,vol. 84, pp. 511- 514 ,(1999) , 10.1016/S0002-9149(99)00368-9
Paul A Gurbel, Alex I Malinin, Kevin P Callahan, Victor L Serebruany, Christopher M O’Connor, Effect of loading with clopidogrel at the time of coronary stenting on platelet aggregation and glycoprotein IIb/IIIa expression and platelet-leukocyte aggregate formation The American Journal of Cardiology. ,vol. 90, pp. 312- 315 ,(2002) , 10.1016/S0002-9149(02)02471-2
Anita Ryningen, Baard Olav Jensen, Holm Holmsen, ELEVATION OF CYCLIC AMP DECREASES PHOSPHOINOSITIDE TURNOVER AND INHIBITS THROMBIN-INDUCED SECRETION IN HUMAN PLATELETS Biochimica et Biophysica Acta. ,vol. 1394, pp. 235- 248 ,(1998) , 10.1016/S0005-2760(98)00106-4
Seung-Whan Lee, Seong-Wook Park, Myeong-Ki Hong, Cheol Whan Lee, Young-Hak Kim, Jae-Hyeong Park, Su-Jin Kang, Ki-Hoon Han, Jae-Joong Kim, Seung-Jung Park, Comparison of cilostazol and clopidogrel after successful coronary stenting American Journal of Cardiology. ,vol. 95, pp. 859- 862 ,(2005) , 10.1016/J.AMJCARD.2004.12.012
Paul A. Gurbel, Kevin P. Bliden, Kevin M. Hayes, Jason A. Yoho, William R. Herzog, Udaya S. Tantry, The Relation of Dosing to Clopidogrel Responsiveness and the Incidence of High Post-Treatment Platelet Aggregation in Patients Undergoing Coronary Stenting Journal of the American College of Cardiology. ,vol. 45, pp. 1392- 1396 ,(2005) , 10.1016/J.JACC.2005.01.030
Shinji Yokoyama, Hisao Ikeda, Nobuya Haramaki, Hideo Yasukawa, Toyoaki Murohara, Tsutomu Imaizumi, Platelet P-selectin plays an important role in arterial thrombogenesis by forming large stable platelet-leukocyte aggregates Journal of the American College of Cardiology. ,vol. 45, pp. 1280- 1286 ,(2005) , 10.1016/J.JACC.2004.12.071
Theresa Palabrica, Roy Lobb, Barbara C. Furie, Mark Aronovitz, Christopher Benjamin, Yen-Ming Hsu, Susan A. Sajer, Bruce Furie, Leukocyte accumulation promoting fibrin deposition is mediated in vivo by P-selectin on adherent platelets. Nature. ,vol. 359, pp. 848- 851 ,(1992) , 10.1038/359848A0