Evidence map›Paper›PMID 40278201›Full record

ReviewJournal of cardiovascular development and disease2025

Procedural and Antithrombotic Therapy Optimization in Patients with Atrial Fibrillation Undergoing Percutaneous Coronary Intervention: A Narrative Review.

Domenico Simone Castiello, Federica Buongiorno, Lina Manzi, Viviana Narciso, Imma Forzano, Domenico Florimonte, Luca Sperandeo, Mario Enrico Canonico, Marisa Avvedimento, Roberta Paolillo and 13 more

Abstract readReview
In one paragraph

Review in Journal of cardiovascular development and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Observational
  6. Review
  7. Review
  8. Observational
  9. Long-Term Outcomes of Anticoagulation Monotherapy Versus Combination Therapy in Atrial Fibrillation Patients with Complex Coronary Artery Disease.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Observational
  18. Observational
  19. Article
  20. 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

23 authors.

Domenico Simone CastielloDepartment of Advanced Biomedical Sciences, University of Naples Federico II, 80138 Naples, Italy.ORCID 0000-0001-9208-910X
Federica BuongiornoDepartment of Advanced Biomedical Sciences, University of Naples Federico II, 80138 Naples, Italy.
Lina ManziDepartment of Advanced Biomedical Sciences, University of Naples Federico II, 80138 Naples, Italy.
Viviana NarcisoDepartment of Advanced Biomedical Sciences, University of Naples Federico II, 80138 Naples, Italy.ORCID 0000-0002-5062-823X
Imma ForzanoDepartment of Advanced Biomedical Sciences, University of Naples Federico II, 80138 Naples, Italy.
Domenico FlorimonteDepartment of Advanced Biomedical Sciences, University of Naples Federico II, 80138 Naples, Italy.
Luca SperandeoDepartment of Advanced Biomedical Sciences, University of Naples Federico II, 80138 Naples, Italy.
Mario Enrico CanonicoDepartment of Advanced Biomedical Sciences, University of Naples Federico II, 80138 Naples, Italy.ORCID 0000-0001-8452-7464
Marisa AvvedimentoDepartment of Advanced Biomedical Sciences, University of Naples Federico II, 80138 Naples, Italy.ORCID 0000-0002-8443-7888
Roberta PaolilloDepartment of Advanced Biomedical Sciences, University of Naples Federico II, 80138 Naples, Italy.ORCID 0000-0002-5170-517X
Alessandra SpinelliDepartment of Advanced Biomedical Sciences, University of Naples Federico II, 80138 Naples, Italy.ORCID 0009-0001-6058-4912
Stefano CristianoDepartment of Advanced Biomedical Sciences, University of Naples Federico II, 80138 Naples, Italy.ORCID 0009-0001-6096-2768
Fiorenzo SimonettiDepartment of Advanced Biomedical Sciences, University of Naples Federico II, 80138 Naples, Italy.ORCID 0000-0001-6897-9807
Federica SempliceDepartment of Advanced Biomedical Sciences, University of Naples Federico II, 80138 Naples, Italy.
Dario D'AlconzoDepartment of Advanced Biomedical Sciences, University of Naples Federico II, 80138 Naples, Italy.
Donato Maria ValloneDepartment of Advanced Biomedical Sciences, University of Naples Federico II, 80138 Naples, Italy.
Giuseppe GiuglianoDepartment of Advanced Biomedical Sciences, University of Naples Federico II, 80138 Naples, Italy.ORCID 0000-0002-1467-1687
Alessandro SciahbasiInterventional Cardiology, Sandro Pertini Hospital, 00157 Rome, Italy.ORCID 0000-0002-7964-4479
Plinio CirilloDepartment of Advanced Biomedical Sciences, University of Naples Federico II, 80138 Naples, Italy.ORCID 0000-0001-7818-4952
Felice GragnanoDepartment of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy.ORCID 0000-0002-6943-278X
Paolo CalabròDepartment of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy.ORCID 0000-0002-5018-830X
Giovanni EspositoDepartment of Advanced Biomedical Sciences, University of Naples Federico II, 80138 Naples, Italy.
Giuseppe GargiuloDepartment of Advanced Biomedical Sciences, University of Naples Federico II, 80138 Naples, Italy.ORCID 0000-0003-4395-6742

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the past decades, percutaneous coronary intervention (PCI) has become the most common modality for myocardial revascularization in patients with coronary artery disease (CAD). Dual antiplatelet therapy (DAPT) with aspirin and a P2Y12 inhibitor is essential in all patients undergoing PCI to prevent thrombotic complications. A large proportion of patients undergoing PCI also have concomitant atrial fibrillation (AF), thus requiring an oral anticoagulant (OAC) to prevent ischemic stroke or systemic embolism. However, the association between OAC and DAPT further increases the risk of bleeding. Compared with a triple antithrombotic therapy (TAT), dual antithrombotic therapy (DAT) has shown to reduce bleeding events, but at the cost of higher risk of stent thrombosis. In this field, patients with AF undergoing PCI represent a special population with significant challenges, and several strategies are needed to reduce the risk for bleeding complications. In this review, we will discuss both the procedural and antithrombotic strategies to optimize ischemic and bleeding outcomes in patients with AF undergoing PCI.

Indexed as

antiplateletatrial fibrillationbleedingintracoronary imagingoral anticoagulantpercutaneous coronary interventionthrombosisvascular access

Identifiers

PMID40278201
PMCPMC12028227

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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.