Controversies related to renal artery denervation and devices

被引:0
作者
Agwuegbo, Chibuike Charles [1 ]
Antia, Akanimo Usen [2 ]
Shamaki, Garba Rimamskep [3 ]
Bob-Manuel, Tamunoinemi [4 ]
机构
[1] Southwest Healthcare, Dept Med, Temecula, CA 92590 USA
[2] Lincoln Med Ctr, Dept Med, Bronx, NY USA
[3] Rochester Reg Hosp, Unity Hosp, Dept Med, Rochester, NY USA
[4] Univ Tennessee, Hlth Sci Ctr, Div Cardiovasc Dis, Memphis, TN USA
关键词
renal artery ablation; renal artery denervation; renal denervation; resistant hypertension; RESISTANT HYPERTENSION; TRIAL; EFFICACY; SAFETY;
D O I
10.1097/HCO.0000000000001146
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose of reviewThis review article discusses the controversies, strengths, and limitations of the current literature on renal artery denervation in the management of resistant hypertension, as well as the future directions of this intervention.Recent findingsThere have been conflicting data from the different randomized control trials assessing the efficacy of renal artery denervation in the management of resistant hypertension.SummaryRenal artery denervation is achieved by ablating the sympathetic nerves surrounding the renal arteries using endovascular ultrasound, radiofrequency, or alcohol. Our review article highlights that renal artery denervation is generally effective in improving blood pressure in patients with resistant hypertension. The Food and Drug Administration (FDA) has recently approved the ReCor Medical Paradise system, and the Symplicity Spyral RDN systems for renal artery denervation.
引用
收藏
页码:244 / 250
页数:7
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