Predictive factors for successful renal denervation: should we use them in clinical trials?

被引:4
作者
Barber-Chamoux, Nicolas [1 ,2 ,3 ]
Esler, Murray D. [2 ,3 ]
机构
[1] Clermont Ferrand Univ Hosp, Dept Cardiol, F-63003 Clermont Ferrand, France
[2] Baker IDI Heart & Diabet Inst, Human Neurotransmitters Lab, 75 Commercial Rd, Melbourne, Vic 3004, Australia
[3] Alfred Hosp, Ctr Heart, Melbourne, Vic 3004, Australia
基金
澳大利亚国家健康与医学研究理事会;
关键词
Clinical trials; hypertension; renal denervation; sympathetic nervous system; BLOOD-PRESSURE RESPONSE; SYMPATHETIC-NERVOUS-SYSTEM; OBSTRUCTIVE SLEEP-APNEA; CHRONIC KIDNEY-DISEASE; RESISTANT HYPERTENSION; SYMPLICITY HTN-3; ARTERY STENOSIS; ATRIAL-FIBRILLATION; CATHETER; STIMULATION;
D O I
10.1111/eci.12792
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Renal denervation (RDN) is facing various challenges to its initial claimed value in hypertension treatment. Major concerns are the choice of the patients and the technical efficacy of the RDN. Different factors have been described as predicting the capacity of RDN to decrease blood pressure. These factors are related to the patients, the procedure and the tools to confirm successful neural ablation. Their use in future trials should help to improve RDN trials understanding and outcomes. This review summarizes the different predictive factors available and their potential benefits in patient selection and in procedure guidance.
引用
收藏
页码:860 / 867
页数:8
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