Alterations in plasma soluble vascular endothelial growth factor receptor-1 (sFlt-1) concentrations during coronary artery bypass graft surgery: relationships with post-operative complications
2008

sFlt-1 Levels and Complications After Heart Surgery

Sample size: 31 publication Evidence: moderate

Author Information

Author(s): Denizot Yves, Leguyader Alexandre, Cornu Elisabeth, Laskar Marc, Orsel Isabelle, Vincent Christelle, Nathan Nathalie

Primary Institution: UMR CNRS 6101, Centre National de la Recherche Scientifique, Université de Limoges, France

Hypothesis

Are plasma sFlt-1 values related to surgical complications after CABG?

Conclusion

Lower sFlt-1 levels during surgery are associated with specific post-operative complications.

Supporting Evidence

  • Lowered plasma sFlt-1 levels were observed in patients with haematological and cardiovascular impairments.
  • No significant difference in pre-operative sFlt-1 levels between patients with and without complications.
  • Patients who died postoperatively had lower sFlt-1 levels.

Takeaway

This study found that lower levels of a protein called sFlt-1 during heart surgery might lead to more problems after the surgery.

Methodology

Plasma samples were collected at various times during and after CABG surgery, and sFlt-1 levels were measured using ELISA kits.

Potential Biases

Potential bias due to the observational nature of the study and the use of aprotinin in all patients.

Limitations

The study is observational and cannot establish causality between sFlt-1 levels and complications.

Participant Demographics

All patients had a preoperative ejection fraction above 40%.

Statistical Information

P-Value

0.001, 0.006

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1749-8090-3-16

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