Evidence map›Paper›PMID 32082919›Full record

ArticleTurk gogus kalp damar cerrahisi dergisi2019

An evaluation of rivaroxaban and clopidogrel in a rat lower extremity ischemia-reperfusion model: An experimental study.

Ersan Özbudak, Fatma Ceyla Eraldemir, Ali Ahmet Arıkan, Deniz Şahin, Hale Maral Kır, Tolga Kurt, Ömer Faruk Gülaştı, Şadan Yavuz

Open access · greenAbstract read
In one paragraph

Article in Turk gogus kalp damar cerrahisi dergisi, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 27% 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.

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

4 citing papers in PubMed, 10 citations in OpenAlex.

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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

8 authors at 1 institution in 1 country.

Ersan ÖzbudakDepartment of Cardiovascular Surgery, Akademi Hospital, Kocaeli, Turkey.
Fatma Ceyla EraldemirDepartment of Biochemistry, Kocaeli University Medical Faculty, Kocaeli, Turkey.
Ali Ahmet ArıkanDepartment of Cardiovascular Surgery, Kocaeli University Medical Faculty, Kocaeli, Turkey.
Deniz ŞahinDepartment of Physiology, Kocaeli University Medical Faculty, Kocaeli, Turkey.
Hale Maral KırDepartment of Biochemistry, Kocaeli University Medical Faculty, Kocaeli, Turkey.
Tolga KurtDepartment of Cardiovascular Surgery, Çanakkale University Medical Faculty, Çanakkale, Turkey.
Ömer Faruk GülaştıDepartment of Cardiovascular Surgery, Erzurum Training and Research Hospital, Erzurum, Turkey.
Şadan YavuzDepartment of Cardiovascular Surgery, Kocaeli University Medical Faculty, Kocaeli, Turkey.
Kocaeli Üniversitesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aims to compare clopidogrel and rivaroxaban against ischemia-reperfusion injury after a long reperfusion time and to investigate its effects on various tissues.

methodsA total of 40 Wistar rats were included in the study and were randomly divided into four groups (n=10 per group). Groups were defined as follows: control (Group 1), sham (Group 2), clopidogrel pre-treatment (Group 3), and rivaroxaban pre-treatment (Group 4). Ischemia (6 h) and reperfusion (8 h) were induced at the lower hind limb in Groups 2, 3, and 4. The ischemic muscle, heart, kidney, liver, and plasma tissues of the subjects were obtained to test for the oxidant (malondialdehyde) and antioxidants (glutathione, superoxide dismutase, and nitric oxide).

resultsMalondialdehyde levels were significantly higher in the sham group, compared to the controls in all tissues. Clopidogrel and rivaroxaban pre-treatment significantly decreased malondialdehyde levels, compared to the heart, ischemic muscle, liver, and blood tissues of the sham group. Kidney malondialdehyde levels were reduced only by rivaroxaban. Group 4 had significantly decreased malondialdehyde levels, compared to Group 3 in ischemic muscle (p<0.010). The glutathione reduction, compared to sham group, in the kidney was only significant for Group 4 (p<0.050). With clopidogrel and rivaroxaban pretreatment, nitric oxide levels significantly decreased only in the heart tissue, compared to sham group (p<0.001 and p<0.050, respectively).

conclusionThe study results suggest that rivaroxaban and clopidogrel are effective in reducing ischemia-reperfusion injury in the heart, ischemic muscle, liver, and blood. Rivaroxaban also protects the kidneys and is superior to clopidogrel in ischemic muscle protection.

Identifiers

PMID32082919
PMCPMC7018153
OpenAlexW2998650899

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Registered trials

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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 OpenQuestion graph.