Evidence map›Paper›PMID 40838370›Full record

ArticleJournal of hypertension2025

Long-term safety and efficacy of renal sympathetic denervation in comparison to a population-based cohort: a propensity-matching approach.

Victor J M Zeijen, Martijn J Tilly, Kari A Saville, Bruno H C Stricker, Isabella Kardys, M Kamran Ikram, Maryam Kavousi, Joost Daemen

Abstract readComparative Study
In one paragraph

Article in Journal of hypertension, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Victor J M ZeijenDepartment of Cardiology, Thorax Center.
Martijn J TillyDepartment of Cardiology, Thorax Center.
Kari A SavilleDepartment of Cardiology, Thorax Center.
Bruno H C StrickerDepartment of Epidemiology.
Isabella KardysDepartment of Cardiology, Thorax Center.
M Kamran IkramDepartment of Epidemiology.
Maryam KavousiDepartment of Epidemiology.
Joost DaemenDepartment of Cardiology, Thorax Center.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the long-term changes in risk of cardiovascular outcomes and blood pressure (BP) in hypertensive patients treated with renal sympathetic denervation (RDN) as compared to hypertensive controls from a population-based cohort.

methodsThis prospective cohort study included patients with office systolic blood pressure (SBP) at least 140 mmHg and/or diastolic BP at least 90 mmHg. Patients treated with RDN were matched to hypertensive controls from the population-based Rotterdam Study using one-to-many variable-ratio propensity score matching. The primary safety outcome was a composite endpoint of myocardial infarction, coronary revascularization, stroke, renal failure and mortality. The primary efficacy outcome was the 5-year change in office SBP.

resultsA total of 53 RDN patients were matched to 238 population-based controls. Median age [25th-75th percentile] was 60.5 [56.5-68.4] years (46% female). Baseline BP ±SD was 166.1/95.5 ± 20.6/10.9 mmHg. Patients were prescribed 2.8 [1.5-4.5] defined daily dosages of antihypertensive drugs. The incidence of the primary safety outcome was similar among the RDN group and the control group at 5 years [13 vs. 18%; hazard ratio 0.93; 95% confidence interval (CI) 0.36-2.38; P  = 0.87]. The 5-year change in SBP was -12.0 [-18.0, -6.0] mmHg in the RDN group ( P  < 0.001) and -14.9 [-22.5 to -7.3] mmHg in the control group ( P  < 0.001), with no significant between-group difference [2.9 (-6.6 to 12.4) mmHg; P  = 0.55].

conclusionPatients with uncontrolled hypertension undergoing RDN did not have a significantly lower risk for future adverse cardiovascular events as compared to hypertensive controls from a population-based study. No difference in office BP was observed at 5 years. While real-world observational data could provide valuable insights, randomized trials are needed to confirm the role of RDN in improving long-term outcomes.

Indexed as

HypertensionKidneySympathectomyAgedAntihypertensive AgentsBlood PressureCohort StudiesFemaleHumansMaleMiddle AgedPropensity ScoreProspective StudiesTreatment OutcomeAntihypertensive Agentsblood pressurecohort studiesglomerular filtration ratehypertensionkidneysympathectomy

Identifiers

PMID40838370
PMCPMC12517731

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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.