Journal of Vascular Surgery
Volume 45, Issue 1 , Pages 2-9 , January 2007

Elevated C-reactive protein levels are associated with postoperative events in patients undergoing lower extremity vein bypass surgery

Presented at The Society for Vascular Surgery, Vascular Annual Meeting, Philadelphia, Pa, June 1 to 4, 2006.

  • Christopher D. Owens, MD

      Affiliations

    • Division of Vascular Surgery, Brigham and Women’s Hospital, Boston, Mass
  • ,
  • Paul M. Ridker, MD

      Affiliations

    • Center for Cardiovascular Disease Prevention, Brigham and Women’s Hospital, Boston, Mass
  • ,
  • Michael Belkin, MD

      Affiliations

    • Division of Vascular Surgery, Brigham and Women’s Hospital, Boston, Mass
  • ,
  • Allen D. Hamdan, MD

      Affiliations

    • Division of Vascular Surgery at Beth Israel Deaconess Medical Center, Boston, Mass.
  • ,
  • Frank Pomposelli, MD

      Affiliations

    • Division of Vascular Surgery at Beth Israel Deaconess Medical Center, Boston, Mass.
  • ,
  • Frank Logerfo, MD

      Affiliations

    • Division of Vascular Surgery at Beth Israel Deaconess Medical Center, Boston, Mass.
  • ,
  • Mark A. Creager, MD

      Affiliations

    • Division of Cardiovascular Medicine, Brigham and Women’s Hospital, Boston, Mass
  • ,
  • Michael S. Conte, MD

      Affiliations

    • Division of Vascular Surgery, Brigham and Women’s Hospital, Boston, Mass
    • Corresponding Author InformationCorrespondence: Michael S. Conte, MD, Division of Vascular and Endovascular Surgery, Brigham and Women’s Hospital, Boston, MA 02115.

Received 29 June 2006 ,Accepted 22 August 2006.

  • Image Result

    Scatter plots indicate preoperative levels of inflammatory markers from 91 patients presenting for lower extremity bypass with critical and noncritical limb ischemia (CLI). A, High-sensitivity C-react

    Scatter plots indicate preoperative levels of inflammatory markers from 91 patients presenting for lower extremity bypass with critical and noncritical limb ischemia (CLI). A, High-sensitivity C-reactive protein (hsCRP) (mg/L). B, Fibrinogen (mg/dL). C, Serum amyloid A (SAA) (mg/dL). Data are presented as the median and interquartile range.

  • Image Result
    A, Scatter plot indicates the preoperative level of high-sensitivity C-reactive protein (hsCRP) in 91 patients, and compares those who experienced a postoperative composite end point (myocardial infar

    A, Scatter plot indicates the preoperative level of high-sensitivity C-reactive protein (hsCRP) in 91 patients, and compares those who experienced a postoperative composite end point (myocardial infarction, cerebrovascular accident, death, contralateral limb or graft-related event) with those who did not. Data are presented as the median and interquartile range. B, Freedom from reaching composite end point in subjects with elevated preoperative hsCRP (>5 mg/L) compared with those with levels within the reference range (≤5 mg/L) by Kaplan-Meier method (P = .018; log-rank test). C, Freedom from graft-related events (stenosis, revision, occlusion, or amputation of index leg) in subjects with elevated preoperative hsCRP (>5 mg/L) compared with those with levels within the reference range (≤5 mg/L) by Kaplan-Meier method (P = .094; log-rank test).

 Supported by grant R01 HL 75771 (MAC, MSC), and Clinical Investigator Training Program (C. D. O.).

 Competition of interest: Dr Ridker is listed as a co-inventor on patents held by the Brigham and Women’s Hospital that relate to the use of inflammatory biomarkers in cardiovascular disease.

 CME article

PII: S0741-5214(06)01513-8

doi: 10.1016/j.jvs.2006.08.048

Journal of Vascular Surgery
Volume 45, Issue 1 , Pages 2-9 , January 2007