Renal denervation. Current developments

被引：0

作者：

Saleh, A. ^{[1
]}

机构：

[1] Klinikum Schwabing, Inst Diagnost & Intervent Radiol & Kinderradiol, D-80804 Munich, Germany

来源：

RADIOLOGE | 2013年 / 53卷 / 03期

关键词：

Hypertension; Drug-resistant; Renal denervation; Sympathetic nervous system; Catheter ablation; SYMPATHETIC DENERVATION; RESISTANT HYPERTENSION; BLOOD-PRESSURE; CONTROLLED-TRIAL; STATEMENT;

D O I：

10.1007/s00117-012-2419-8

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Renal denervation is a catheter-based, endovascular procedure for the treatment of drug-resistant hypertension. The aim of the therapy is to lower the blood pressure < 140/90 mmHg. Even after successful minimally invasive therapy patients usually continue to take three or more antihypertensive drugs. Currently there is no evidence that renal denervation is a good option for the treatment of well-controlled hypertension in order to dispense with antihypertensive drugs. In carefully selected patients the mean reduction in systolic and diastolic blood pressure after renal denervation is 25-30 mmHg and 10-15 mmHg, respectively. Procedure-related or device-related complications are rare. Ablation catheters from different manufactures differ greatly in handling properties; however, up to now there is no evidence for relevant differences in safety and efficacy between the devices available.

引用

页码：216 / 222

页数：7

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