The role of platelets in peripheral vascular disease

Kevin Cassar, P. Bachoo, Julie Brittenden

Research output: Contribution to journalArticle

48 Citations (Scopus)

Abstract

Abstract: Platelets play a major role in acute ischaemic syndromes and peripheral vascular disease. They are involved in the development and progression of atherosclerosis, native vessel and graft thrombosis. They have a central role in the development of restenosis and reocclusion after peripheral percutaneous transluminal angioplasty. Antiplatelet therapy has been shown to be beneficial in patients undergoing peripheral vascular surgery or radiological intervention. Yet current routine therapy, namely aspirin and dipyridamole are limited in their mode of action and efficacy. Recent developments in the understanding of platelet function has led to the development of new more potent drugs such as clopidogrel. Combination of drugs and more specific investigation of individual platelet function may well result in improved bypass and angioplasty patency rates. The results of proposed large randomised controlled trials on the role and safety of aspirin and clopidogrel are awaited with interest. Given the importance of platelets in peripheral vascular disease highlighted in this review, achieving an optimal safe anti-platelet effect for each patient with peripheral vascular disease should be the target of future research.

Original languageEnglish
Pages (from-to)6-15
Number of pages10
JournalEuropean Journal of Vascular and Endovascular Surgery
Volume25
Issue number1
DOIs
Publication statusPublished - Jan 2003

Keywords

  • platelets
  • platelet activation
  • occlusive disease
  • coagulatory activity
  • hemostatic factors
  • IIIA
  • fibrinogen
  • GMP-140
  • events
  • risk
  • platelet aggregation
  • peripheral vascular diseases
  • angioplasty
  • platelet aggregation inhibitors
  • percutaneous transluminal angioplasty
  • human atherosclerotic plaques
  • lower-extremity bypass
  • baboon exvivo shunt
  • smooth-muscle cell
  • growth-factor
  • diabetes-mellitus
  • nitric-oxide
  • vonwillebrand-factor
  • balloon angioplasty

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