Evidence map›Paper›PMID 41465358›Full record

ArticleInternational journal of molecular sciences2025

Impact of Rotational Atherectomy on Endothelial Integrity and Platelet Activation.

Wojciech Zimoch, Kamila Florek, Michał Błaszkiewicz, Wiktoria Hanna Buzun, Julia Glińska, Zuzanna Zalewska, Karolina Radek, Monika Kasztura, Ewa Anita Jankowska, Krzysztof Reczuch

Abstract read
In one paragraph

Article in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
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

10 authors.

Wojciech ZimochInstitute of Heart Diseases, Faculty of Medicine, Wroclaw Medical University, 50-556 Wroclaw, Poland.
Kamila FlorekInstitute of Heart Diseases, Faculty of Medicine, Wroclaw Medical University, 50-556 Wroclaw, Poland.ORCID 0009-0002-0256-2421
Michał BłaszkiewiczJan Mikulicz-Radecki University Hospital, 50-556 Wroclaw, Poland.ORCID 0009-0008-2560-7737
Wiktoria Hanna BuzunStudents' Scientific Group of Invasive Cardiology, Institute of Heart Diseases, Wroclaw Medical University, 50-556 Wrocław, Poland.
Julia GlińskaStudents' Scientific Group of Invasive Cardiology, Institute of Heart Diseases, Wroclaw Medical University, 50-556 Wrocław, Poland.
Zuzanna ZalewskaStudents' Scientific Group of Invasive Cardiology, Institute of Heart Diseases, Wroclaw Medical University, 50-556 Wrocław, Poland.ORCID 0009-0008-3275-5869
Karolina RadekStudents' Scientific Group of Invasive Cardiology, Institute of Heart Diseases, Wroclaw Medical University, 50-556 Wrocław, Poland.
Monika KaszturaDepartment of Food Hygiene and Consumer Health Protection, Faculty of Veterinary Medicine, Wroclaw University of Environmental and Life Sciences, 50-375 Wroclaw, Poland.
Ewa Anita JankowskaInstitute of Heart Diseases, Faculty of Medicine, Wroclaw Medical University, 50-556 Wroclaw, Poland.ORCID 0000-0002-9202-432X
Krzysztof ReczuchInstitute of Heart Diseases, Faculty of Medicine, Wroclaw Medical University, 50-556 Wroclaw, Poland.

Funding

Wroclaw Medical University SUB.E190.19.052
6 · The paper itself

Abstract

Rotational atherectomy (RA) is an established technique for modifying heavily calcified and fibrotic coronary artery lesions. Despite its efficacy, the use of a high-speed rotating burr can provoke platelet activation and endothelial injury, thereby increasing thrombotic risk, promoting inflammation, and impairing vascular healing. This study investigated the effects of RA and its procedural characteristics on endothelial function and platelet activation by assessing circulating biomarkers. We prospectively analyzed 34 patients undergoing elective RA at a tertiary center. Blood samples were obtained before and 12-24 h after the procedure. Plasma levels of soluble E-selectin, soluble intercellular adhesion molecule-1 (ICAM-1), platelet factor 4 (PF4), P-selectin, and cluster of differentiation 40 ligand (CD40L) were measured. The study population had a mean age of 71 ± 8.9 years, and 73.8% were male. Cardiovascular comorbidities were prevalent, including diabetes (61.9%), hypertension (92.9%), hypercholesterolemia (42.9%), heart failure (45.2%), atrial fibrillation (21.4%), prior PCI (81%), and prior CABG (11.9%). RA significantly increased levels of P-selectin (55.5 ± 26.1 vs. 68.9 ± 26.5,

Indexed as

Atherectomy, CoronaryCoronary Artery DiseaseEndothelium, VascularPlatelet ActivationAgedBiomarkersFemaleHumansMaleMiddle AgedProspective StudiesBiomarkersCD40 ligandendothelial damageE-selectinICAM-1PF4platelet activationP-selectinrotational atherectomy

Identifiers

PMID41465358
PMCPMC12732510

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.