Evidence map›Paper›PMID 39286705›Full record

ReviewCureus2024

The Efficacy of Renal Denervation in Treating Resistant Hypertension: A Systematic Review.

Gibran A Azeez, Mounika Thirunagari, Nazeefa Fatima, Abhinav Anand, Aadi R Palvia, Avneet Kaur, Sondos T Nassar

Abstract readReview
In one paragraph

Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

7 authors.

Gibran A AzeezDepartment of Internal Medicine, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.
Mounika ThirunagariDepartment of Internal Medicine, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.
Nazeefa FatimaDepartment of Clinical Research, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.
Abhinav AnandDepartment of Internal Medicine, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.
Aadi R PalviaDepartment of Internal Medicine, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.
Avneet KaurDepartment of Internal Medicine, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.
Sondos T NassarDepartment of Medicine and Surgery, Jordan University of Science and Technology, Amman, JOR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Resistant hypertension is blood pressure (BP) that is persistently above target in spite of the maximally tolerated usage of at least three anti-hypertensives simultaneously. The sympathetic nervous system is instrumental in blood pressure (BP) regulation. Renal (sympathetic) denervation involves using ablative energy to disrupt the sympathetic nerves in renal arteries. This systematic review examines the efficacy of this treatment modality. Abiding by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines, we conducted an extensive literature search in five databases, Cochrane Library, Google Scholar, PubMed, PubMed Central (PMC), and ScienceDirect, to retrieve studies that are free, open access, and published in English done within the past four years. Nineteen articles passed critical appraisal. These articles were randomized controlled trials (RCT), a case report, a cross-sectional study, a cohort study, and previous reviews. Renal denervation (RDN) was generally superior to sham control in patients with resistant hypertension for reducing various systolic blood pressure (SBP) measures, including 24-hour ambulatory, daytime, and nighttime SBP. The efficacy was highest in patients whose baseline SBP was higher. BP reduction was sustained for years post-procedure. The procedure had a good safety profile with no severe complications. Future studies should compare the efficacy of different types of renal denervation, such as ethanol ablation versus radiofrequency ablation, and renal denervation against other procedure-based treatment modalities, such as carotid baroreceptor stimulation and transcranial direct current stimulation.

Indexed as

renal ablationrenal denervation therapysympathetic denervationsystemic hypertensiontreatment-resistant hypertensionuncontrolled blood pressure

Identifiers

PMID39286705
PMCPMC11403650

What OpenQuestion holds

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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.