Perioperative Cytokine Response to Infection Associated With Elective Arterial Surgery. (February 2014)

• Record Type: Journal Article
• Authors: Daryapeyma, Alireza; Aarstad, Hans Jørgen; Wahlgren, Carl-Magnus; Jonung, Torbjörn
• Is Part Of: Vascular & endovascular surgery. Volume 48:Number 2(2014)
• Page Start: 116
• Page End: 122
• Publication Date: 2014-02
• Subjects: cytokine -- inflammation -- infection -- vascular -- surgery; Blood-vessels -- Surgery -- Periodicals; Blood-vessels -- Endoscopic surgery -- Periodicals; Vascular Surgical Procedures -- Periodicals; Angioplasty -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Vascular Diseases -- surgery -- Periodicals; Vaisseaux sanguins -- Chirurgie -- Périodiques; Vaisseaux sanguins -- Chirurgie endoscopique -- Périodiques; 617.41
• DOI: 10.1177/1538574413512376
• Languages: English
• ISSNs: 1538-5744

Abstract

Objective: The aim was to assess the cytokine response to acute inflammation and infection in vascular surgery. Design of Study: Single-center, prospective cohort study. Methods: Blood samples from 96 consecutive patients undergoing elective vascular surgery were analyzed for C-reactive protein (CRP), total leukocyte counts (LPK), neutrophil CD64 expression, and cytokines using enzyme-linked immunosorbent assay. Results: Of the 25 investigated cytokines, 22 had lower postoperative mean values compared to preoperative values. Interleukin (IL) 6 (IL-6) was the only cytokine that increased significantly postoperatively. Combined analysis of CRP and CD64 together with IL-6 or IL-10 showed an individually unique association with postoperative infection ( P < .05). Conclusion: We have shown a positive correlation with perioperative infection for the proinflammatory cytokines and the anti-inflammatory cytokine IL-10 as well as a number of chemokines. To our knowledge, this is the first report linking IL-10 and chemokine plasma levels to perioperative infection in vascular surgery.