Evidence map›Paper›PMID 26553699›Full record

Trial reportCirculation. Cardiovascular interventions2015

Hemodynamic, functional, and clinical responses to pulmonary artery denervation in patients with pulmonary arterial hypertension of different causes: phase II results from the Pulmonary Artery Denervation-1 study.

Shao-Liang Chen, Hang Zhang, Du-Jiang Xie, Juan Zhang, Ling Zhou, Alexander M K Rothman, Gregg W Stone

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Circulation. Cardiovascular interventions, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03282266 (A Randomised, Single-blind, Sham Operation-controlled Study to Evaluate the Safety and Efficacy of the Pulmonary Artery Denervation for the Treatment of Pulmonary Arterial Hypertension), which is not on this map. Cited by 54 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 2 pooled it
8.6field-weighted citation impact, top 2% of its field
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.

NCT03282266 nacompletednot on this mapstarted 2018, after this paper: background citation

A Randomised, Single-blind, Sham Operation-controlled Study to Evaluate the Safety and Efficacy of the Pulmonary Artery Denervation for the Treatment of Pulmonary Arterial Hypertension

TypeinterventionalSponsorNanjing First Hospital, Nanjing Medical UniversityRan2018 to 2021Enrolled128ConditionsPulmonary Arterial HypertensionArmsPADN, Sham operation
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 2 syntheses or guidelines pooled it, 131 citations in OpenAlex.

  1. Management of pulmonary arterial hypertension in systemic sclerosis: from classical treatments to new horizons.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Article
  6. Article
  7. Multi-Organ Denervation: The Past, Present and Future.Journal of clinical medicine · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Current status of pulmonary artery denervation.Frontiers in cardiovascular medicine · 2022
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Shao-Liang ChenFrom the Division of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China (S.-L.C., L.Z.); Division of Cardiology, Stone Cardiac Institute, Nanjing, China (S.-L.C., G.W.S.); Division of Cardiology, Nanjing Heart Center, Nanjing, China (H.Z., D.-J.X., J.Z.); Division of Psychology, Emory College of Arts and Science, Atlanta, GA (M.-X.C.); Department of Cardiovascular Science, University of Sheffield, Sheffield, United Kingdom (A.M.K.R.); and Division of Cardiology, Columbia University Medical Center and the Cardiovascular Research Foundation, New York, NY (G.W.S.). chmengx@126.com gstone@crf.org.
Hang ZhangFrom the Division of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China (S.-L.C., L.Z.); Division of Cardiology, Stone Cardiac Institute, Nanjing, China (S.-L.C., G.W.S.); Division of Cardiology, Nanjing Heart Center, Nanjing, China (H.Z., D.-J.X., J.Z.); Division of Psychology, Emory College of Arts and Science, Atlanta, GA (M.-X.C.); Department of Cardiovascular Science, University of Sheffield, Sheffield, United Kingdom (A.M.K.R.); and Division of Cardiology, Columbia University Medical Center and the Cardiovascular Research Foundation, New York, NY (G.W.S.).
Du-Jiang XieFrom the Division of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China (S.-L.C., L.Z.); Division of Cardiology, Stone Cardiac Institute, Nanjing, China (S.-L.C., G.W.S.); Division of Cardiology, Nanjing Heart Center, Nanjing, China (H.Z., D.-J.X., J.Z.); Division of Psychology, Emory College of Arts and Science, Atlanta, GA (M.-X.C.); Department of Cardiovascular Science, University of Sheffield, Sheffield, United Kingdom (A.M.K.R.); and Division of Cardiology, Columbia University Medical Center and the Cardiovascular Research Foundation, New York, NY (G.W.S.).
Juan ZhangFrom the Division of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China (S.-L.C., L.Z.); Division of Cardiology, Stone Cardiac Institute, Nanjing, China (S.-L.C., G.W.S.); Division of Cardiology, Nanjing Heart Center, Nanjing, China (H.Z., D.-J.X., J.Z.); Division of Psychology, Emory College of Arts and Science, Atlanta, GA (M.-X.C.); Department of Cardiovascular Science, University of Sheffield, Sheffield, United Kingdom (A.M.K.R.); and Division of Cardiology, Columbia University Medical Center and the Cardiovascular Research Foundation, New York, NY (G.W.S.).
Ling ZhouFrom the Division of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China (S.-L.C., L.Z.); Division of Cardiology, Stone Cardiac Institute, Nanjing, China (S.-L.C., G.W.S.); Division of Cardiology, Nanjing Heart Center, Nanjing, China (H.Z., D.-J.X., J.Z.); Division of Psychology, Emory College of Arts and Science, Atlanta, GA (M.-X.C.); Department of Cardiovascular Science, University of Sheffield, Sheffield, United Kingdom (A.M.K.R.); and Division of Cardiology, Columbia University Medical Center and the Cardiovascular Research Foundation, New York, NY (G.W.S.).
Alexander M K RothmanFrom the Division of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China (S.-L.C., L.Z.); Division of Cardiology, Stone Cardiac Institute, Nanjing, China (S.-L.C., G.W.S.); Division of Cardiology, Nanjing Heart Center, Nanjing, China (H.Z., D.-J.X., J.Z.); Division of Psychology, Emory College of Arts and Science, Atlanta, GA (M.-X.C.); Department of Cardiovascular Science, University of Sheffield, Sheffield, United Kingdom (A.M.K.R.); and Division of Cardiology, Columbia University Medical Center and the Cardiovascular Research Foundation, New York, NY (G.W.S.).
Gregg W StoneFrom the Division of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China (S.-L.C., L.Z.); Division of Cardiology, Stone Cardiac Institute, Nanjing, China (S.-L.C., G.W.S.); Division of Cardiology, Nanjing Heart Center, Nanjing, China (H.Z., D.-J.X., J.Z.); Division of Psychology, Emory College of Arts and Science, Atlanta, GA (M.-X.C.); Department of Cardiovascular Science, University of Sheffield, Sheffield, United Kingdom (A.M.K.R.); and Division of Cardiology, Columbia University Medical Center and the Cardiovascular Research Foundation, New York, NY (G.W.S.). chmengx@126.com gstone@crf.org.
University of Sheffield · GBEmory and Henry College · US

Funding

Medical Research Council MC_PC_12022Medical Research Council MR/K002406/1
6 · The paper itself

Abstract

backgroundThe mechanisms underlying pulmonary arterial hypertension (PAH) are multifactorial. The efficacy of pulmonary artery denervation (PADN) for idiopathic PAH treatment has been evaluated. This study aimed to analyze the hemodynamic, functional, and clinical responses to PADN in patients with PAH of different causes. METHODS AND

resultsBetween April 2012 and April 2014, 66 consecutive patients with a resting mean pulmonary arterial pressure ≥25 mm Hg treated with PADN were prospectively followed up. Target drugs were discontinued after the PADN procedure. Hemodynamic response and 6-minute walk distance were repeatedly measured within the 1 year post PADN follow-up. The clinical end point was the occurrence of PAH-related events at the 1-year follow-up. There were no PADN-related complications. Hemodynamic success (defined as the reduction in mean pulmonary arterial pressure by a minimal 10% post PADN) was achieved in 94% of all patients, with a mean absolute reduction in systolic pulmonary arterial pressure and mean pulmonary arterial pressure within 24 hours of -10 mm Hg and -7 mm Hg, respectively. The average increment in 6-minute walk distance after PADN was 94 m. Worse PAH-related events occurred in 10 patients (15%), mostly driven by the worsening of PAH (12%). There were 8 (12%) all-cause deaths, with 6 (9%) PAH-related deaths.

conclusionsPADN was safe and feasible for the treatment of PAH. The PADN procedure was associated with significant improvements in hemodynamic function, exercise capacity, and cardiac function and with less frequent PAH-related events and death at 1 year after PADN treatment. Further randomized studies are required to confirm the efficacy of PADN for PAH. CLINICAL

trial registrationURL: http://www.chictr.trc.com.cn. Unique identifier: chiCTR-ONC-12002085.

Indexed as

DenervationAdultAgedConnective Tissue DiseasesFemaleFollow-Up StudiesHemodynamicsHumansHypertension, PulmonaryMaleMiddle AgedProspective StudiesPulmonary ArteryRecurrenceTreatment Outcomearterial pressuredenervationfamilial primary pulmonary hypertensionhemodynamicspulmonary artery

Identifiers

PMID26553699
PMCPMC4648183
OpenAlexW2105250202

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LicenceCC BY-NC-ND
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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.