Increased serum level of high sensitivity troponin T even prior to surgery can predict adverse events during carotid endarterectomy.

CONCLUSIONS: A higher intraoperative change in S100B level reflecting carotid endarterectomy induced acute silent brain ischemia was associated with more pronounced post-operative change of cortisol. An early elevation of cortisol was found to be associated with a delayed increase of matrix metalloproteinase-9. Importantly, an increased high-sensitivity troponin-T even prior to carotid endarterectomy may predict clamp intolerance, and elevated matrix metalloproteinase-9 at reperfusion suggests a poor outcome.
PMID: 33427096 [PubMed - as supplied by publisher]

Source: Vascular - January 11, 2021 Category: Surgery Authors: Nagy B, Engblom E, Matas M, Maróti P, Kőszegi T, Menyhei G, Lantos J, Szabó P, Molnár T Tags: Vascular Source Type: research