Evidence map›Paper›PMID 36042146›Full record

ArticleJournal of cardiovascular translational research2023

Rationale and Design of Sympathetic Mapping/Ablation of Renal Nerves Trial (SMART) for the Treatment of Hypertension: a Prospective, Multicenter, Single-Blind, Randomized and Sham Procedure-Controlled Study.

Jie Wang, Ningling Sun, Junbo Ge, Hong Jiang, Yuehui Yin, Minglong Chen, Yue Wang, Chen Yao, Xiaoyan Yan, Paul A Sobotka and 1 more

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Publisher
In one paragraph

Article in Journal of cardiovascular translational research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02761811 (A Prospective, Multicenter, Single Blind, Randomized and Sham Controlled Trial of Renal Sympathetic Denervation Using SyMapCath I™ Catheter and SYMPIONEER S1™ Stimulator/Generator for the Treatment of Hypertension), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.1field-weighted citation impact, top 11% 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.

NCT02761811 naactive not recruitingnot on this map

A Prospective, Multicenter, Single Blind, Randomized and Sham Controlled Trial of Renal Sympathetic Denervation Using SyMapCath I™ Catheter and SYMPIONEER S1™ Stimulator/Generator for the Treatment of Hypertension (SMART Trial)

TypeinterventionalSponsorSyMap Medical (Suzhou), Ltd.Ran2016 to 2026Enrolled220ConditionsHypertensionArmsSyMapCath I™ catheter and SYMPIONEER S1™ Stimulator/Generator
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Outcome data for renal denervation: craving the unattainable?Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Article
  5. Article
  6. 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
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

11 authors at 7 institutions in 2 countries.

Jie WangDivision of Cardiology, Department of Medicine, College of Physician and Surgeons, Columbia University, New York, NY, 10032, USA. jw147@cumc.columbia.edu.ORCID 0000-0001-7264-4639
Ningling SunDepartment of Hypertension, Heart Center, Peking University People's Hospital, Beijing, 100044, China.
Junbo GeDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Hong JiangDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, 430060, China.
Yuehui YinDepartment of Cardiology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, China.
Minglong ChenDepartment of Cardiology, The First Affiliated Hospital With Nanjing Medical University, Nanjing, 210029, China.
Yue WangAcademy of Clinical and Translational Research Jiangsu Province, The First Affiliated Hospital With Nanjing Medical University, Nanjing, 210029, China.
Chen YaoPeking University Clinical Research Institute, Beijing, 100191, China.
Xiaoyan YanPeking University Clinical Research Institute, Beijing, 100191, China.
Paul A Sobotka, Philadelphia, PA, USA.
Yong HuoDivision of Cardiology, Peking University First Hospital, Beijing, 100034, China. huoyong@263.net.cn.
Peking University · CNNanjing Medical University · CNColumbia University · USDalian Medical University · CNPhiladelphia University · USSun Yat-sen University · CNWuhan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Renal denervation (RDN) is proposed as a durable and patient compliance independent treatment for hypertension. However, 20-30% non-responder after RDN treatment weakened the therapeutic effect, which may be due to blind ablation. The renal nerve mapping/selective ablation system developed by SyMap Medical Ltd (Suzhou), China, has the function of mapping renal sympathetic/parasympathetic nerve sites and selectively removing renal sympathetic nerves and is expected to meet the urgent unmet clinical need of targeted RDN. The "Sympathetic Mapping/Ablation of Renal Nerves Trial" (SMART) is a prospective, multicenter, randomized, single-blinded, sham procedure-controlled trial, to evaluate the safety and efficacy of targeted renal sympathetic denervation in patients with essential and uncontrolled hypertension. The study is the first clinical registry trial using a targeted RDN for the treatment of uncontrolled hypertension; the dual-endpoint design can answer the question of how many antihypertensive drugs can be reduced in patients after RDN. The trial is registered on clinicaltrials.gov NCT02761811.

Indexed as

HypertensionKidneySympathectomyAblation TechniquesFunctional NeuroimagingHumansMulticenter Studies as TopicRandomized Controlled Trials as TopicSingle-Blind MethodSympathetic Nervous SystemHypertensionRenal denervationRenal nerve mappingSelective ablationStudy design

Identifiers

PMID36042146
OpenAlexW4293579427

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.