The Effect of Statins and Other Cardiovascular Medication on Ischemia-Reperfusion Damage in a Human DIEP Flap Model: Theoretical and Epidemiological Considerations

Background. Statins and other cardiovascular medication possess antioxidant capacity. It was examined whether chronic use of these medications protects from the development of ischemia-reperfusion (I/R) related complications after DIEP (Deep Inferior Epigastric Perforator Free Flap) surgery. This pa...

Full description

Saved in:
Bibliographic Details
Main Authors: M. G. W. van den Heuvel, A. Bast, A. W. Ambergen, R. R. W. J. van der Hulst
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Journal of Transplantation
Online Access:http://dx.doi.org/10.1155/2012/504081
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832554234656063488
author M. G. W. van den Heuvel
A. Bast
A. W. Ambergen
R. R. W. J. van der Hulst
author_facet M. G. W. van den Heuvel
A. Bast
A. W. Ambergen
R. R. W. J. van der Hulst
author_sort M. G. W. van den Heuvel
collection DOAJ
description Background. Statins and other cardiovascular medication possess antioxidant capacity. It was examined whether chronic use of these medications protects from the development of ischemia-reperfusion (I/R) related complications after DIEP (Deep Inferior Epigastric Perforator Free Flap) surgery. This paper contains a literature study on the antioxidant working mechanisms of these drugs. Methods. Medical information of 134 DIEP patients (173 flaps) was studied from their medical files. Patient and operative characteristics were registered, as well as I/R related complications. Results. Of the group that didnot use statins, 16.3% developed complications versus 30.8% amongst patients that did use these drugs (P=0.29). Amongst patients that chronically use other cardiovascular medication, 26.8% developed I/R related complications versus 14.4% of the patients without medication (P=0.10). Conclusions. Chronic use of statins or other cardiovascular medication didnot decrease the occurrence of I/R related complications after DIEP surgery. Therefore, research should be aimed at evaluating short-term pre-treatment with statins.
format Article
id doaj-art-908f2db6d4ed40238e7097310395697a
institution Kabale University
issn 2090-0007
2090-0015
language English
publishDate 2012-01-01
publisher Wiley
record_format Article
series Journal of Transplantation
spelling doaj-art-908f2db6d4ed40238e7097310395697a2025-02-03T05:51:59ZengWileyJournal of Transplantation2090-00072090-00152012-01-01201210.1155/2012/504081504081The Effect of Statins and Other Cardiovascular Medication on Ischemia-Reperfusion Damage in a Human DIEP Flap Model: Theoretical and Epidemiological ConsiderationsM. G. W. van den Heuvel0A. Bast1A. W. Ambergen2R. R. W. J. van der Hulst3Department of Plastic, Reconstructive and Hand Surgery, Maastricht University Medical Centre, P.O. Box 5800, 6202 AZ, Maastricht, The NetherlandsDepartment of Pharmacology and Toxicology, Maastricht University Medical Centre, P.O. Box 616, 6200 MD, Maastricht, The NetherlandsDepartment of Methodology and Statistics, Maastricht University Medical Centre, P.O. Box 616, 6200 MD, Maastricht, The NetherlandsDepartment of Plastic, Reconstructive and Hand Surgery, Maastricht University Medical Centre, P.O. Box 5800, 6202 AZ, Maastricht, The NetherlandsBackground. Statins and other cardiovascular medication possess antioxidant capacity. It was examined whether chronic use of these medications protects from the development of ischemia-reperfusion (I/R) related complications after DIEP (Deep Inferior Epigastric Perforator Free Flap) surgery. This paper contains a literature study on the antioxidant working mechanisms of these drugs. Methods. Medical information of 134 DIEP patients (173 flaps) was studied from their medical files. Patient and operative characteristics were registered, as well as I/R related complications. Results. Of the group that didnot use statins, 16.3% developed complications versus 30.8% amongst patients that did use these drugs (P=0.29). Amongst patients that chronically use other cardiovascular medication, 26.8% developed I/R related complications versus 14.4% of the patients without medication (P=0.10). Conclusions. Chronic use of statins or other cardiovascular medication didnot decrease the occurrence of I/R related complications after DIEP surgery. Therefore, research should be aimed at evaluating short-term pre-treatment with statins.http://dx.doi.org/10.1155/2012/504081
spellingShingle M. G. W. van den Heuvel
A. Bast
A. W. Ambergen
R. R. W. J. van der Hulst
The Effect of Statins and Other Cardiovascular Medication on Ischemia-Reperfusion Damage in a Human DIEP Flap Model: Theoretical and Epidemiological Considerations
Journal of Transplantation
title The Effect of Statins and Other Cardiovascular Medication on Ischemia-Reperfusion Damage in a Human DIEP Flap Model: Theoretical and Epidemiological Considerations
title_full The Effect of Statins and Other Cardiovascular Medication on Ischemia-Reperfusion Damage in a Human DIEP Flap Model: Theoretical and Epidemiological Considerations
title_fullStr The Effect of Statins and Other Cardiovascular Medication on Ischemia-Reperfusion Damage in a Human DIEP Flap Model: Theoretical and Epidemiological Considerations
title_full_unstemmed The Effect of Statins and Other Cardiovascular Medication on Ischemia-Reperfusion Damage in a Human DIEP Flap Model: Theoretical and Epidemiological Considerations
title_short The Effect of Statins and Other Cardiovascular Medication on Ischemia-Reperfusion Damage in a Human DIEP Flap Model: Theoretical and Epidemiological Considerations
title_sort effect of statins and other cardiovascular medication on ischemia reperfusion damage in a human diep flap model theoretical and epidemiological considerations
url http://dx.doi.org/10.1155/2012/504081
work_keys_str_mv AT mgwvandenheuvel theeffectofstatinsandothercardiovascularmedicationonischemiareperfusiondamageinahumandiepflapmodeltheoreticalandepidemiologicalconsiderations
AT abast theeffectofstatinsandothercardiovascularmedicationonischemiareperfusiondamageinahumandiepflapmodeltheoreticalandepidemiologicalconsiderations
AT awambergen theeffectofstatinsandothercardiovascularmedicationonischemiareperfusiondamageinahumandiepflapmodeltheoreticalandepidemiologicalconsiderations
AT rrwjvanderhulst theeffectofstatinsandothercardiovascularmedicationonischemiareperfusiondamageinahumandiepflapmodeltheoreticalandepidemiologicalconsiderations
AT mgwvandenheuvel effectofstatinsandothercardiovascularmedicationonischemiareperfusiondamageinahumandiepflapmodeltheoreticalandepidemiologicalconsiderations
AT abast effectofstatinsandothercardiovascularmedicationonischemiareperfusiondamageinahumandiepflapmodeltheoreticalandepidemiologicalconsiderations
AT awambergen effectofstatinsandothercardiovascularmedicationonischemiareperfusiondamageinahumandiepflapmodeltheoreticalandepidemiologicalconsiderations
AT rrwjvanderhulst effectofstatinsandothercardiovascularmedicationonischemiareperfusiondamageinahumandiepflapmodeltheoreticalandepidemiologicalconsiderations