Evidence map›Paper›PMID 33193811›Full record

ArticleCardiovascular therapeutics2020

Extended Renal Artery Denervation Is Associated with Artery Wall Lesions and Acute Systemic and Pulmonary Hemodynamic Changes: A Sham-Controlled Experimental Study.

Aleksandr D Vakhrushev, Heber Ivan Condori Leandro, Natalia S Goncharova, Lev E Korobchenko, Lubov B Mitrofanova, Dmitry S Lebedev, Evgeny N Mikhaylov

Open access · goldAbstract read
In one paragraph

Article in Cardiovascular therapeutics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 25% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
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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

7 authors at 2 institutions in 1 country.

Aleksandr D VakhrushevNeuromodulation Lab and Arrhythmia Department, Almazov National Medical Research Centre, Saint Petersburg, Russia.ORCID https://orcid.org/0000-0003-0116-7753
Heber Ivan Condori LeandroNeuromodulation Lab and Arrhythmia Department, Almazov National Medical Research Centre, Saint Petersburg, Russia.ORCID https://orcid.org/0000-0003-3246-5948
Natalia S GoncharovaNon-Coronary Heart Diseases Department, Almazov National Medical Research Centre, Saint Petersburg, Russia.ORCID https://orcid.org/0000-0001-6954-7096
Lev E KorobchenkoPavlov First Saint Petersburg Medical University, Saint Petersburg, Russia.
Lubov B MitrofanovaPathology Department, Almazov National Medical Research Centre, Saint Petersburg, Russia.
Dmitry S LebedevNeuromodulation Lab and Arrhythmia Department, Almazov National Medical Research Centre, Saint Petersburg, Russia.ORCID https://orcid.org/0000-0002-2334-1663
Evgeny N MikhaylovNeuromodulation Lab and Arrhythmia Department, Almazov National Medical Research Centre, Saint Petersburg, Russia.ORCID https://orcid.org/0000-0002-6553-9141
Federal Almazov North-West Medical Research Centre · RUFirst Pavlov State Medical University of St. Petersburg · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe sought to assess acute changes in systemic and pulmonary hemodynamics and microscopic artery lesions following extended renal artery denervation (RDN).

backgroundRDN has been proposed to reduce sympathetic nervous system hyperactivation. Although the effects of RDN on systemic circulation and overall sympathetic activity have been studied, data on the impact of RDN on pulmonary hemodynamics is lacking.

methodsThe study comprised 13 normotensive Landrace pigs. After randomization, 7 animals were allocated to the group of bilateral RDN and 6 animals to the group of a sham procedure (SHAM). Hemodynamic measures, cannulation, and balloon-based occlusion of the renal arteries were performed in both groups. In the RDN group, radiofrequency ablation was performed in all available arteries and their segments. An autopsy study of the renal arteries was carried out in both groups.

resultsThe analysis was performed on 12 pigs (6 in either group) since pulmonary thromboembolism occurred in one case. A statistically significant drop in the mean diastolic pulmonary artery pressure (PAP) was detected in the RDN group when compared with the SHAM group (change by 13.0 ± 4.4 and 10.0 ± 3.0 mmHg, correspondingly;

conclusionsExtensive RDN leads to a rapid and significant decrease in PAP. In the majority of cases, RDN is associated with an acute lowering of systolic blood pressure and PVR. Extended RDN is associated with artery wall lesions and thrombus formation underdiagnosed by angiography.

Indexed as

Catheter AblationHemodynamicsSympathectomyAnimalsArterial PressurePulmonary ArteryRenal ArterySus scrofaThrombosisVascular Resistance

Identifiers

PMID33193811
PMCPMC7644331
OpenAlexW3095989209

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.