ArticleJournal of clinical hypertension (Greenwich, Conn.)2017
Renal denervation beyond the bifurcation: The effect of distal ablation placement on safety and blood pressure.
Article in Journal of clinical hypertension (Greenwich, Conn.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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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.
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Who cites it
4 citing papers in PubMed.
- Angio-computed tomography reveals differences in the anatomy of renal arteries in resistant hypertension patients qualified for renal denervation versus pseudo-resistant hypertensive subjects.Cardiology journal · 2023Article
- Safety of catheter-based radiofrequency renal denervation on branch renal arteries in a porcine model.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2019Article
- Renal denervation beyond the bifurcation: The effect of distal ablation placement on safety and blood pressure.Journal of clinical hypertension (Greenwich, Conn.) · 2017Article
- Finding the best ablation strategy for renal denervation: A continuing saga.Journal of clinical hypertension (Greenwich, Conn.) · 2017Article
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9 authors.
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No grant is acknowledged in the PubMed record.
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.
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