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Catheter-Based Renal Denervation for Hypertension

  • Raymond R. Townsend
  • Paul A. Sobotka
Hypertension and the Kidney (RM Carey, Section Editor)
  • 197 Downloads
Part of the following topical collections:
  1. Topical Collection on Hypertension and the Kidney

Abstract

Purpose of Review

This review was undertaken to update readers on the field of therapeutic renal denervation for hypertension during the 2016 through 2018 period.

Recent Findings

After the failure of Symplicity HTN-3 to meet its top line objective, intense scrutiny revealed several possible concerns addressed by the newer investigations into the area of renal denervation. These included better device technology, more intense subject monitoring for off-protocol antihypertensive drug usage, and deeper penetration into the renal vasculature by the interventionist.

Summary

Whether untreated by medication for hypertension or on antihypertensive medication, renal denervation shows a clear, though moderate, blood pressure reduction. The failure of roughly one out of three patients with hypertension to respond to denervation procedures argues that there is room for improvement in choosing the optimal patient for this approach to hypertension management.

Keywords

Renal denervation Hypertension Radiofrequency ablation Ultrasound ablation Alcohol ablation 

Notes

Compliance with Ethical Standards

Conflict of Interest

Dr. Townsend reports personal fees from Medtronic and Rox Medical, outside the submitted work. Dr. Sobotka is Executive Consultant to Rox Medical.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Perelman School of Medicine, Renal, Electrolyte and Hypertension DivisionUniversity of PennsylvaniaPhiladelphiaUSA
  2. 2.The Ohio StateColumbusUSA
  3. 3.Chief Medical OfficerRox Medical, Inc.San ClementeUSA

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