Advertisement

 

 

Renal denervation beyond the bifurcation: The effect of distal ablation placement on safety and blood pressure.

Renal denervation beyond the bifurcation: The effect of distal ablation placement on safety and blood pressure.
Author Information (click to view)

Beeftink MM, Spiering W, De Jong MR, Doevendans PA, Blankestijn PJ, Elvan A, Heeg JE, Bots ML, Voskuil M,


Beeftink MM, Spiering W, De Jong MR, Doevendans PA, Blankestijn PJ, Elvan A, Heeg JE, Bots ML, Voskuil M, (click to view)

Beeftink MM, Spiering W, De Jong MR, Doevendans PA, Blankestijn PJ, Elvan A, Heeg JE, Bots ML, Voskuil M,

Advertisement
Share on FacebookTweet about this on TwitterShare on LinkedIn

Journal of clinical hypertension (Greenwich, Conn.) 2017 03 14() doi 10.1111/jch.12989
Abstract

Renal denervation may be more effective if performed distal in the renal artery because of smaller distances between the lumen and perivascular nerves. The authors reviewed the angiographic results of 97 patients and compared blood pressure reduction in relation to the location of the denervation. No significant differences in blood pressure reduction or complications were found between patient groups divided according to their spatial distribution of the ablations (proximal to the bifurcation in both arteries, distal to the bifurcation in one artery and distal in the other artery, or distal to the bifurcation in both arteries), but systolic ambulatory blood pressure reduction was significantly related to the number of distal ablations. No differences in adverse events were observed. In conclusion, we found no reason to believe that renal denervation distal to the bifurcation poses additional risks over the currently advised approach of proximal denervation, but improved efficacy remains to be conclusively established.

Submit a Comment

Your email address will not be published. Required fields are marked *

four × 1 =

[ HIDE/SHOW ]