Evidence map›Paper›PMID 30783914›Full record

ArticleClinical and experimental nephrology2019

Effects of renal denervation on blood pressure in hypertensive patients with end-stage renal disease: a single centre experience.

Christian Ott, Axel Schmid, Tilmann Ditting, Roland Veelken, Michael Uder, Roland E Schmieder

2 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in Clinical and experimental nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
1.4field-weighted citation impact, top 17% 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.

NCT04264403 nacompletednot on this mapstarted 2020, after this paper: background citation

Effect of Renal Denervation on Blood Pressure in Patients With Chronic Kidney Disease and Uncontrolled Hypertension

TypeinterventionalSponsorUniversity of Erlangen-Nürnberg Medical SchoolRan2020 to 2024Enrolled44ConditionsUncontrolled Hypertension, Renal Denervation, Chronic Kidney Disease stage3ArmsRenal denervation
NCT07742787 naactive not recruitingnot on this mapstarted 2024, after this paper: background citation

Effect of Renal Denervation on Blood Pressure in Patients With Chronic Kidney Disease and Uncontrolled Hypertension

TypeinterventionalSponsorHippocration General HospitalRan2024 to 2027Enrolled20ConditionsUncontrolled Hypertension, Renal Denervation, Chronic Kidney Disease (Stage 3)ArmsRenal denervation, Sham procedure control
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Trial
  5. Pleiotropic effects of renal denervation beyond blood pressure reduction.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Review
  6. Review
  7. Patient Selection and Renal Denervation.Current hypertension reports · 2026
    Review
  8. Review
  9. Review
  10. Observational
  11. Renal denervation for hypertension.Nature reviews. Cardiology · 2025
    Review
  12. Review
  13. Article
  14. Review
  15. Is Renal Denervation Effective in Treating Resistant Hypertension?Electrolyte & blood pressure : E & BP · 2024
    Review
  16. Renal denervation in the management of hypertension.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2024
    Article
  17. Review
  18. Observational
  19. Article
  20. Review
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

6 authors at 1 institution in 1 country.

Christian OttDepartment of Nephrology and Hypertension, Friedrich-Alexander University Erlangen-Nürnberg, Ulmenweg 18, 91054, Erlangen, Germany.
Axel SchmidDepartment of Radiology, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany.
Tilmann DittingDepartment of Nephrology and Hypertension, Friedrich-Alexander University Erlangen-Nürnberg, Ulmenweg 18, 91054, Erlangen, Germany.
Roland VeelkenDepartment of Nephrology and Hypertension, Friedrich-Alexander University Erlangen-Nürnberg, Ulmenweg 18, 91054, Erlangen, Germany.
Michael UderDepartment of Radiology, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany.
Roland E SchmiederDepartment of Nephrology and Hypertension, Friedrich-Alexander University Erlangen-Nürnberg, Ulmenweg 18, 91054, Erlangen, Germany. roland.schmieder@uk-erlangen.de.ORCID http://orcid.org/0000-0003-2356-5883
Friedrich-Alexander-Universität Erlangen-Nürnberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSympathetic nerve activity is a hallmark of hypertension in end-stage renal disease (ESRD). An initial proof-of-concept study implies that renal denervation (RDN) is feasible and safe in RDN, but overall data are limited.

methodsIn this single-centre prospective pilot study six patients with ESRD and treatment resistant hypertension were consecutively included. Ambulatory blood pressure (ABP) was measured before and 6 months after RDN (Symplictiy Flex™, Medtronic Inc., Santa Rosa, CA). Moreover, haemodialysis parameters which may affect BP reduction were monitored closely.

resultsIn all patients bilateral RDN was successful done, without documentation of peri- or postprocedural complications. There was a significant reduction in 24-h ABP by 20 ± 17/15 ± 12 mmHg 6 months after RDN (systolic: 163 ± 16 versus 143 ± 9 mmHg, p = 0.043; diastolic: 96 ± 9 versus 81 ± 15 mmHg, p = 0.043), with similar results for day-, and nighttime values, respectively. Antihypertensive medication was kept stable as well as there was no change in haemodialysis parameters during follow-up. In addition, ultrafiltration/week (1.4 ± 1.4 versus 2.2 ± 1.4 l, p = 0.08) as well as hematocrit (measured at baseline and 6 months after RDN) (33.7 ± 4.3 versus 33.1 ± 3.9%, p = 0.715) revealed no change in volume status.

conclusionOur single-centre pilot study not only supports current data on renal safety of RDN even in small arteries of patients with ESRD, but also enhances the knowledge towards an effective ABP reduction in this type of hypertensive patients.

Indexed as

Blood PressureAdultAutonomic Nervous SystemFemaleHumansHypertensionKidneyKidney Failure, ChronicMaleMiddle AgedPilot ProjectsProspective StudiesRenal DialysisYoung AdultEnd-stage renal diseaseRenal denervationTreatment resistant hypertension

Identifiers

PMID30783914
OpenAlexW2917530811

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.