ReviewCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2025
Breaking the Barrier: Unraveling the No-Reflow Phenomenon in Cardiovascular Medicine.
Review in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
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Who cites it
1 citing paper in PubMed.
- Inflammation and Immune Mediators in the Context of Atherosclerotic Cardiovascular Disease and Percutaneous Coronary Intervention: Implications for Therapeutics.Medical sciences (Basel, Switzerland) · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The no-reflow phenomenon is a stubborn and often devastating complication in cardiovascular medicine, where blood flow is restored to an artery, yet the microvasculature remains unresponsive. First identified in 1967, this phenomenon has haunted clinicians and researchers alike, particularly in the context of acute myocardial infarction (AMI). With incidence rates reaching 11.5% in AMI-related percutaneous coronary interventions (PCI), no-reflow is a major contributor to poor cardiac outcomes, including heart failure and increased mortality. At its core, no-reflow stems from microvascular obstruction (MVO), driven by endothelial dysfunction, distal embolization, and reperfusion-related injury. Capillaries become clogged, inflammation surges, and oxidative stress wreaks havoc, leading to irreversible tissue damage. Advanced imaging techniques like cardiac magnetic resonance (CMR) and myocardial contrast echocardiography (MCE) now allow for more precise detection, offering hope for earlier intervention. Despite decades of research, effective treatments remain elusive. Conventional strategies, from vasodilators to mechanical interventions, often fall short. However, emerging therapies like Nicorandil, a potassium-channel activator with nitrate properties, show promise in improving microvascular perfusion and reducing inflammation. To break the barrier of no-reflow, a paradigm shift is needed: one that integrates cutting-edge diagnostics, personalized medicine, and innovative pharmacological and mechanical interventions. As we unravel the complexities of this phenomenon, the future holds the potential to transform outcomes for patients battling myocardial ischemia-reperfusion injury.
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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.