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Table 1 Key processes in restenosis in diabetics; the processes are specified to the elevated (↑) or decreased (↓) factors contributing to the elevated risk of restenosis in diabeticscompared to non-diabetics.

From: The role of glucose lowering agents on restenosis after percutaneous coronary intervention in patients with diabetes mellitus

Influence of 4 Key Factors on Restenosis in Diabetics

Process

Factor

Proinflammatory state

↑ C-peptide

 

↑ Resistin

 

↑ CRP

 

↑ Il-12

Prothrombotic state

↑ P2Y-receptor

 

↑ Endothelial damage by O2-radicals

Accelerated and unstable plaque formation

↑ Vascular smooth muscle cell proliferation

 

↑ Macrophage infiltration

 

↑ Lipid-rich

 

↑ Collagen-rich

 

↑ Vaso vasorum neovascularization

Haemodynamics

↓ Vessel lumen diameter

 

↑ Multivessel disease

 

↑ Viscosity