Evidence map›Paper›PMID 34031548›Full record

ArticleJournal of human hypertension2022

Predictors of blood pressure response to ultrasound renal denervation in the RADIANCE-HTN SOLO study.

Manish Saxena, Roland E Schmieder, Ajay J Kirtane, Felix Mahfoud, Joost Daemen, Jan Basile, Philipp Lurz, Philippe Gosse, Kintur Sanghvi, Naomi D L Fisher and 13 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of human hypertension, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Alcohol-mediated renal denervation in patients with hypertension in the absence of antihypertensive medications.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2023
    Trial
  4. Article
  5. Review
  6. Overcoming variable response in renal denervation: Key strategies for reliable clinical implementation.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Review
  7. Wireless soft implantable pressure sensors based on liquid metal with large-area mapping and adaptive implantation capabilities.Proceedings of the National Academy of Sciences of the United States of America · 2026
    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

23 authors at 19 institutions in 6 countries.

Manish SaxenaBarts NIHR Biomedical Research Centre, William Harvey Research Institute, Queen Mary University of London, London, UK. m.saxena@qmul.ac.uk.ORCID 0000-0001-9964-2692
Roland E SchmiederNephrology and Hypertension, University Hospital Erlangen, Friedrich Alexander University, Erlangen, Germany.ORCID 0000-0003-2356-5883
Ajay J KirtaneColumbia University Medical Center/New York-Presbyterian Hospital and the Cardiovascular Research Foundation, New York, NY, USA.
Felix MahfoudInstitute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, MA, USA.ORCID 0000-0002-4425-549X
Joost DaemenDepartment of Cardiology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, NL, The Netherlands.
Jan BasileSeinsheimer Cardiovascular Health Program, Medical University of South Carolina, Ralph H Johnson VA Medical Center, Charleston, SC, USA.
Philipp LurzHeart Center Leipzig, University of Leipzig, Leipzig, Germany.
Philippe GosseHôpital Saint-André - CHU, Bordeaux, France.ORCID 0000-0002-5840-7749
Kintur SanghviDeborah Heart & Lung Center, Brown Mills, NJ, USA.
Naomi D L FisherThe Brigham and Women's Hospital, Boston, MA, USA.
Lars C RumpUniversity Clinic Dusseldorf, Dusseldorf, Germany.
Atul PathakDepartment of Cardiovascular Medicine, Princess Grace Hospital, Monaco, Monaco.
Peter J BlankestijnUniversity Medical Center Utrecht, Utrecht, The Netherlands.
Anthony MathurBarts NIHR Biomedical Research Centre, William Harvey Research Institute, Queen Mary University of London, London, UK.
Yale WangMinneapolis Heart Institute, Abbott Northwestern Hospital, Minneapolis, MN, USA.ORCID 0000-0002-8780-5113
Michael A WeberDivision of Cardiovascular Medicine, State University of New York, Downstate Medical Center, New York, NY, USA.ORCID 0000-0002-8504-0831
Andrew S P SharpUniversity Hospital of Wales, Cardiff, UK.
Michael J BlochDepartment of Medicine, University of Nevada School of Medicine, Vascular Care, Renown Institute of Heart and Vascular Health, Reno, NV, USA.
Neil C BarmanReCor Medical, Inc, Palo Alto, CA, USA.ORCID 0000-0001-5713-6716
Lisa ClaudeReCor Medical, Inc, Palo Alto, CA, USA.
Yang SongBaim Institute for Clinical Research, Boston, MA, USA.
Michel AziziUniversité de Paris, Paris, France.
Melvin D LoboBarts NIHR Biomedical Research Centre, William Harvey Research Institute, Queen Mary University of London, London, UK.ORCID 0000-0002-1122-948X
Queen Mary University of London · GBAbbott Northwestern Hospital · USBaim Institute for Clinical Research · USBrigham and Women's Hospital · USDeborah Heart and Lung Center · USDüsseldorf University Hospital · DEErasmus MC · NLHôpital Saint-André · FRInserm · FRLeipzig Heart Institute · DEMassachusetts Institute of Technology · USMedical University of South Carolina · USNewYork–Presbyterian Hospital · USPrincess Grace Hospital Centre · MCState University of New York · USUniversitätsklinikum Erlangen · DEUniversity Medical Center Utrecht · NLUniversity of Exeter · GBUniversity of Nevada, Reno · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The blood pressure (BP) lowering response to renal denervation (RDN) remains variable with about one-third of patients not responding to ultrasound or radiofrequency RDN. Identification of predictors of the BP response to RDN is needed to optimize patient selection for this therapy. This is a post-hoc analysis of the RADIANCE-HTN SOLO study. BP response to RDN was measured by the change in daytime ambulatory systolic blood pressure (dASBP) at 2 months post procedure. Univariate regression was used initially to assess potential predictors of outcome followed by multivariate regression analysis. In the univariate analysis, predictors of response to RDN were higher baseline daytime ambulatory diastolic blood pressure (dADBP), the use of antihypertensive medications at screening, and presence of orthostatic hypertension (OHTN) whilst the presence of untreated accessory arteries was a negative predictor of response. Multivariate analysis determined that dADBP and use of antihypertensive medications were predictors of response to RDN with a trend for OHTN to predict response. Obese females also appeared to be better responders to RDN in an interaction model. RDN is more effective in patients with elevated baseline dADBP and those with OHTN, suggesting increased peripheral vascular resistance secondary to heightened sympathetic tone. These assessments are easy to perform in clinical setting and may help in phenotyping patients who will respond better to RDN.

Indexed as

HypertensionSympathectomyAntihypertensive AgentsBlood PressureBlood Pressure Monitoring, AmbulatoryDenervationFemaleHumansKidneyRenal ArteryTreatment OutcomeAntihypertensive Agents

Identifiers

PMID34031548
PMCPMC9287166
OpenAlexW3165619340

What OpenQuestion holds

Textmetadata
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.