Evidence map›Paper›PMID 36789560›Full record

ArticleEuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology2023

Renal denervation in the management of hypertension in adults. A clinical consensus statement of the ESC Council on Hypertension and the European Association of Percutaneous Cardiovascular Interventions (EAPCI).

Emanuele Barbato, Michel Azizi, Roland E Schmieder, Lucas Lauder, Michael Böhm, Sofie Brouwers, Rosa Maria Bruno, Dariusz Dudek, Thomas Kahan, David E Kandzari and 11 more

Open access · greenAbstract readConsensus Statement
In one paragraph

Article in EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
5.9field-weighted citation impact, top 3% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Multi-Organ Denervation: The Past, Present and Future.Journal of clinical medicine · 2025
    Review
  9. Review
  10. Article
  11. Article
  12. Differences in the effectiveness and safety of different renal denervation devices.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Review
  13. Outcome data for renal denervation: craving the unattainable?Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Article
  14. 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
  15. Review
  16. Adherence to antihypertensive medication in renal denervation trials: new studies, old problems?Hypertension research : official journal of the Japanese Society of Hypertension · 2023
    Article
  17. Learning the lessons (again) of the challenges of conducting sham-controlled device trials in hypertension.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2023
    Article
  18. Histological examination of renal nerve distribution, density, and function in humans.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2023
    Article
  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

21 authors at 7 institutions in 5 countries.

Emanuele BarbatoDepartment of Clinical and Molecular Medicine, Sapienza University of Rome, Rome, Italy.
Michel AziziParis Centre de Recherche Cardiovasculaire, INSERM, Université Paris Cité, Paris, France.
Roland E SchmiederDepartment of Nephrology and Hypertension, University Hospital Erlangen, Erlangen, Germany and Friedrich Alexander University Erlangen-Nürnberg, Erlangen, Germany.
Lucas LauderKlinik für Innere Medizin III, Universitätsklinikum des Saarlandes and Saarland University, Homburg, Germany.
Michael BöhmKlinik für Innere Medizin III, Universitätsklinikum des Saarlandes and Saarland University, Homburg, Germany.
Sofie BrouwersCardiovascular Center Aalst, OLV Hospital Aalst, Aalst, Belgium and Department of Experimental Pharmacology, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Brussels, Belgium.
Rosa Maria BrunoParis Centre de Recherche Cardiovasculaire, INSERM, Université Paris Cité, Paris, France.
Dariusz DudekInstitute of Cardiology, Jagiellonian University Medical College, Krakow, Poland and GVM Care & Research, Maria Cecilia Hospital, Cotignola, Italy.
Thomas KahanDepartment of Clinical Sciences, Karolinska Institute, Solna, Sweden and Division of Cardiovascular Medicine, Danderyd Hospital, Stockholm, Sweden and Department of Cardiology, Danderyd University Hospital Corporation, Stockholm, Sweden.
David E KandzariPiedmont Heart Institute, Atlanta, GA, USA.
Thomas F LüscherDepartment of Cardiology, Royal Brompton and Harefield Hospitals, London, UK, and National Heart and Lung Institute, Imperial College, London, UK, and School of Cardiovascular Medicine and Sciences, Kings College London, London, UK, and Center for Molecular Cardiology, University of Zurich, Schlieren, Switzerland.
Gianfranco ParatiDepartment of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy and Cardiology Unit, Istituto Auxologico Italiano, IRCCS, Milan, Italy.
Atul PathakDepartment of Cardiovascular Medicine, Centre Hospitalier Princesse Grace, Monte Carlo, Monaco.
Flavio L RibichiniDivision of Cardiology, Department of Medicine, University of Verona, Verona, Italy.
Markus P SchlaichDobney Hypertension Centre, Medical School, Perth, WA, Australia, and Royal Perth Hospital Unit, Medical Research Foundation, The University of Western Australia, Perth, WA, Australia and Departments of Cardiology and Nephrology, Royal Perth Hospital, Perth, WA, Australia.
Andrew S P SharpDepartment of Cardiology, University Hospital of Wales, Cardiff, UK.
Isabella SudanoDepartment of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland.
Massimo VolpeDepartment of Cardiology, Sapienza University of Rome, Sant'Andrea Hospital, Rome, Italy.
Costas Tsioufis1st Department of Cardiology, National and Kapodistrian University of Athens, Athens, Greece and Hippocratio Hospital, Athens, Greece.
William WijnsThe Lambe Institute for Translational Medicine, Galway, Ireland and University of Galway, Galway, Ireland.
Felix MahfoudKlinik für Innere Medizin III, Universitätsklinikum des Saarlandes and Saarland University, Homburg, Germany.
Sapienza University of Rome · ITUniversitätsklinikum des Saarlandes · DEPiedmont Atlanta Hospital · USSaarland University · DEUniversity Hospital of Wales · GBUniversity Hospital of Zurich · CHUniversity of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since the publication of the 2018 European Society of Cardiology/European Society of Hypertension (ESC/ESH) Guidelines for the Management of Arterial Hypertension, several high-quality studies, including randomised, sham-controlled trials on catheter-based renal denervation (RDN) were published, confirming both the blood pressure (BP)-lowering efficacy and safety of radiofrequency and ultrasound RDN in a broad range of patients with hypertension, including resistant hypertension. A clinical consensus document by the ESC Council on Hypertension and the European Association of Percutaneous Cardiovascular Interventions (EAPCI) on RDN in the management of hypertension was considered necessary to inform clinical practice. This expert group proposes that RDN is an adjunct treatment option in uncontrolled resistant hypertension, confirmed by ambulatory BP measurements, despite best efforts at lifestyle and pharmacological interventions. RDN may also be used in patients who are unable to tolerate antihypertensive medications in the long term. A shared decision-making process is a key feature and preferably includes a patient who is well informed on the benefits and limitations of the procedure. The decision-making process should take (i) the patient's global cardiovascular (CV) risk and/or (ii) the presence of hypertension-mediated organ damage or CV complications into account. Multidisciplinary hypertension teams involving hypertension experts and interventionalists evaluate the indication and facilitate the RDN procedure. Interventionalists require expertise in renal interventions and specific training in RDN procedures. Centres performing these procedures require the skills and resources to deal with potential complications. Future research is needed to address open questions and investigate the impact of BP-lowering with RDN on clinical outcomes and potential clinical indications beyond hypertension.

Indexed as

HypertensionRenal ArteryAdultAntihypertensive AgentsBlood PressureDenervationHumansKidneySympathectomyTreatment OutcomeAntihypertensive Agents

Identifiers

PMID36789560
PMCPMC10020821
OpenAlexW4320857859

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.