Table 4. Biomarkers predicting adverse events during extracorporeal circuits.
Adverse event | Biomarker |
---|---|
hemolysis | ↓ haptoglobin [121] ↑ free-hemoglobin [3, 122] ↑ fibrin stranding ↓ hemoglobin |
inflammation | ↑ platelet – leukocyte aggregates, NETS [56, 108] |
ischemia reperfusion | ↑ lipid peroxidation [123] ↑ protein carbonylation [123] |
endothelial dysfunction | ↑ circulating endothelial cells [59, 71, 124] ↑ circulating endothelial cell progenitors [58, 71, 124] ↑ circulating soluble E-selectin [25] |
platelet activation | ↑ sCD40L [25] ↑ circulating soluble P-selectin [25, 56] ↓ platelet count ↓ platelet function testing |
coagulation | ↑ TF [25] ↓ large vWF multimers [3, 25] ↓AT3, |
infection | ↑ procalcitonin [125] ↑ CRP |
mortality | ↑ ALT/billirubin [126] ↓ urine output [127] |
ALT: alanine aminotransferase; AT3: anti-thrombin III; CPB: cardiopulmonary bypass; CRP: C reactive protein; TF: tissue factor; vWF: von Willebrand factor.