Evidence mapPaperPMID 19021281Full record

ReviewCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2008

Coronary no-reflow phenomenon: from the experimental laboratory to the cardiac catheterization laboratory.

Shereif H Rezkalla, Robert A Kloner

2 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 70 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 6 pooled it
7.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02507128 naunknown statusstarted 2015, after this paper: background citation

Effects of Glucagon Like Peptide-1 on No-reflow in Patients With ST-segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention

Ran2015Enrolled190Registered outcomes5Posted comparisons0ConditionsAcute ST-segment Elevation Myocardial InfarctionArmsliraglutide, Placebo
Open the trial in the graph
NCT02798874 naunknown statusnot on this mapstarted 2016, after this paper: background citation

Chinese People's Liberation Army General Hospital

TypeinterventionalSponsorChinese PLA General HospitalRan2016 to 2016Enrolled240ConditionsCardiovascular DiseasesArmsTicagrelor, Clopidogrel
3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 6 syntheses or guidelines pooled it, 206 citations in OpenAlex.

  1. Pooled it
  2. Guidelines for experimental models of myocardial ischemia and infarction.American journal of physiology. Heart and circulatory physiology · 2018
    Guideline
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Observational
  12. Article
  13. Observational
  14. Article
  15. Article
  16. Breaking the Barrier: Unraveling the No-Reflow Phenomenon in Cardiovascular Medicine.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2025
    Review
  17. Article
  18. Article
  19. Article
  20. Review

10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Shereif H RezkallaDepartment of Cardiology, Marshfield Clinic, Marshfield, Wisconsin 54449, USA. ezkalla.shereif@marshfieldclinic.org
Robert A Kloner
Good Samaritan Hospital · USMarshfield Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronary no-reflow occurs commonly during acute percutaneous coronary intervention, particularly in patients with acute myocardial infarction and those with degenerated vein grafts. It is associated with a guarded prognosis, and thus needs to be recognized and treated promptly. The pathophysiology originates during the ischemic phase and is characterized by localized and diffuse capillary swelling and arteriolar endothelial dysfunction. In addition, leukocytes become activated and are attracted to the lumen of the capillaries, exhibit diapedesis and may contribute to cellular and intracellular edema and clogging of vessels. At the moment of perfusion, the sudden rush of leukocytes and distal atheroemboli further contributes to impaired tissue perfusion. Shortening the door-to-balloon time, use of glycoprotein IIb/IIIa platelet receptor inhibitors and distal protection devices are predicted to limit the development of no-reflow during percutaneous interventions. Distal intracoronary injection of verapamil, nicardipine, adenosine, and nitroprusside may improve coronary flow in the majority of patients. Hemodynamic support of the patient may be needed in some cases until coronary flow improves.

Indexed as

Coronary CirculationAngioplasty, Balloon, CoronaryAnimalsDiagnostic Techniques, CardiovascularEmbolism, CholesterolHumansMyocardial IschemiaMyocardial Reperfusion InjuryMyocardiumNo-Reflow PhenomenonPlatelet Aggregation InhibitorsPlatelet Glycoprotein GPIIb-IIIa ComplexStentsVasodilator AgentsPlatelet Aggregation InhibitorsPlatelet Glycoprotein GPIIb-IIIa ComplexVasodilator Agents

Identifiers

PMID19021281
OpenAlexW2015061748

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.