Evidence map›Paper›PMID 33208566›Full record

ArticleJournal of atherosclerosis and thrombosis2022

Effect of Rivaroxaban and Clopidogrel Combination Therapy on In-Stent Responses After Everolimus-Eluting Stent Implantation in a Porcine Coronary Model.

Daisuke Kitano, Suguru Migita, Yuxin Li, Rie Takahashi, Yoshiki Taniguchi, Takafumi Kurosawa, Mitsumasa Sudo, Hironori Haruta, Takafumi Hiro, Tadateru Takayama and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of atherosclerosis and thrombosis, 2022. 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, top 76% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  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

14 authors at 2 institutions in 1 country.

Daisuke KitanoDivision of Cardiology, Department of Medicine, Nihon University School of Medicine.
Suguru MigitaDivision of Cardiology, Department of Medicine, Nihon University School of Medicine.
Yuxin LiDivision of Advanced Cardiovascular Imaging, Department of Medicine, Nihon University School of Medicine.
Rie TakahashiResearch Support Center, Research Institute of Medical Science, Nihon University School of Medicine.
Yoshiki TaniguchiResearch Support Center, Research Institute of Medical Science, Nihon University School of Medicine.
Takafumi KurosawaDivision of Cardiology, Department of Medicine, Nihon University School of Medicine.
Mitsumasa SudoDivision of Cardiology, Department of Medicine, Nihon University School of Medicine.
Hironori HarutaDivision of Cardiology, Department of Medicine, Nihon University School of Medicine.
Takafumi HiroDivision of Cardiology, Department of Medicine, Nihon University School of Medicine.
Tadateru TakayamaDepartment of General Medicine, Nihon University School of Medicine.
Masako MitsumataDivision of Pathology, Central Clinical Laboratory, Yamanashi Kosei Hospital.
Taro MatsumotoDivision of Cell Regeneration and Transplantation, Department of Functional Morphology, Nihon University School of Medicine.
Yasuo OkumuraDivision of Cardiology, Department of Medicine, Nihon University School of Medicine.
Atsushi HirayamaDivision of Cardiology, Department of Medicine, Nihon University School of Medicine.
Nihon University · JPOsaka Police Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimAccording to recent clinical trials, a combination of direct oral anticoagulants with antiplatelet drugs is often recommended for atrial fibrillation patients who receive drug-eluting stents (DESs). Although the optimal combination comprises direct factor Xa inhibitors and a P2Y

methodsPigs were given either aspirin and clopidogrel (dual antiplatelet therapy [DAPT] group), aspirin and rivaroxaban (AR group), or clopidogrel and rivaroxaban (CR group), followed by everolimus-eluting stent (Promus Element) implantation into the coronary artery. Stented coronary arteries were evaluated via intravascular optical coherence tomography (OCT) and histological analysis at 1 and 3 months.

resultsOCT revealed lower neointimal thickness in the DAPT group and comparable thickness among all groups at 1 and 3 months, respectively. Histological analyses revealed comparable neointimal area among all groups and the smallest neointimal area in the CR group at 1 and 3 months, respectively. In the DAPT and AR groups, the neointima continued to grow from 1 to 3 months. A shortened time course for neointima growth was observed in the CR group, with rapid growth within a month (maintained for 3 months). A higher incidence of in-stent thrombi was observed in the AR group at 1 month; no thrombi were found in either group at 3 months. More smooth muscle cells with contractile features were found in the CR group at both 1 and 3 months.

conclusionsOur results proved the noninferiority of the combination of rivaroxaban with an antiplatelet drug, particularly the dual therapy using rivaroxaban and clopidogrel, compared to DAPT after DES implantation.

Indexed as

Drug-Eluting StentsAnimalsAspirinClopidogrelCoronary StenosisCoronary VesselsDrug Therapy, CombinationEverolimusFactor Xa InhibitorsGraft Occlusion, VascularImmunosuppressive AgentsMalePlatelet Aggregation InhibitorsRivaroxabanSwineTomography, Optical CoherenceAspirinClopidogrelEverolimusFactor Xa InhibitorsImmunosuppressive AgentsPlatelet Aggregation InhibitorsRivaroxabanAtrial fibrillationClopidogrelDrug-eluting stentHistologyOptical coherence tomographyPorcine modelRivaroxaban

Identifiers

PMID33208566
PMCPMC8737068
OpenAlexW3102267424

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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 OpenQuestion graph.