Evidence map›Paper›PMID 24898552›Full record

Trial reportEuropean heart journal2014

Catheter-based renal denervation for treatment of patients with treatment-resistant hypertension: 36 month results from the SYMPLICITY HTN-2 randomized clinical trial.

Murray D Esler, Michael Böhm, Horst Sievert, Christian L Rump, Roland E Schmieder, Henry Krum, Felix Mahfoud, Markus P Schlaich

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in European heart journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00888433 (Renal Denervation in Patients With Uncontrolled Hypertension), which is not on this map. Cited by 116 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
116citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00888433 nacompletednot on this map

Renal Denervation in Patients With Uncontrolled Hypertension (Symplicity HTN-2)

TypeinterventionalSponsorMedtronic VascularRan2009 to 2015Enrolled106ConditionsUncontrolled HypertensionArmsRenal Denervation (Symplicity® Renal Denervation System)
3 · Its place in the literature

Who cites it

116 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Renal denervation for resistant hypertension.The Cochrane database of systematic reviews · 2021
    Pooled it
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  5. Renal denervation for resistant hypertension.The Cochrane database of systematic reviews · 2017
    Pooled it
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  12. Renal Denervation in Cardiovascular Diseases: Mechanisms, Evidence, and Expanding Applications.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
    Review
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56 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Murray D EslerBaker IDI Heart and Diabetes Institute, Monash University, 75 Commercial Road, Melbourne, Victoria 3004, Australia murray.esler@bakeridi.edu.au.
Michael BöhmUniversitätsklinium des Saarlandes, Homburg/Saar, Germany.
Horst SievertCardioVaskuläres Centrum, Frankfurt, Germany.
Christian L RumpDepartment of Nephrology, Heinrich-Heine-University, Medical Faculty, Düsseldorf, Germany.
Roland E SchmiederDepartment of Nephrology, Hypertension of the University Hospital, Clinical Research Competence Center of Hypertension and Vascular Medicine, Erlangen, Germany.
Henry KrumMonash Centre of Cardiovascular Research and Education in Therapeutics, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Felix MahfoudUniversitätsklinium des Saarlandes, Homburg/Saar, Germany.
Markus P SchlaichBaker IDI Heart and Diabetes Institute, Monash University, 75 Commercial Road, Melbourne, Victoria 3004, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aim of this study was to determine long-term results of renal artery denervation for treatment of treatment-resistant hypertension in the SYMPLICITY HTN-2 study.

methodsSYMPLICITY HTN-2 randomized 106 subjects with treatment-resistant hypertension to renal denervation or medical therapy alone. At 6 months, 37 control subjects crossed over to renal denervation. Office blood pressure measurements, antihypertensive medication use, and safety events were followed every 6 months through 3 years.

resultsFollow-up was available at 36 months in 40 of 52 subjects in the initial renal denervation group and at 30 months in 30 of 37 subjects who crossed over and received renal denervation at 6 months. Baseline blood pressure was 184 ± 19/99 ± 16 mmHg in all treated subjects. At 30-month post-procedure, systolic blood pressure decreased 34 mmHg (95% CI: -40, -27, P < 0.01) and diastolic blood pressure decreased 13 mmHg (95% CI: -16, -10, P < 0.01). The systolic and diastolic blood pressure reduction at 36 months for the initial renal denervation group was -33 mmHg (95% CI: -40, -25, P < 0.01) and -14 mmHg (95% CI: -17, -10, P < 0.01), respectively. Procedural complications included one haematoma, and one renal artery dissection before energy delivery that was treated successfully. Later complications included two cases of acute renal failure, which fully resolved, 15 hypertensive events requiring hospitalization, and three deaths.

conclusionRenal denervation resulted in sustained lowering of blood pressure at 3 years in a selected population of subjects with severe, treatment-resistant hypertension without serious safety concerns. CLINICAL

trial registrationNCT00888433.

Indexed as

Antihypertensive AgentsBlood PressureBody WeightCatheter AblationDrug ResistanceFemaleHeart RateHumansHypertensionMaleMiddle AgedSympathectomyTreatment OutcomeAntihypertensive AgentsRenal denervationResistant hypertensionSymplicity

Identifiers

PMID24898552
PMCPMC5994826

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.