Evidence map›Paper›PMID 40933009›Full record

ArticleREC, interventional cardiology2025

Efficacy of ultrasound renal denervation reducing blood pressure: a systematic review and meta-analysis.

Juan Miguel Guerrero-Hernández, Cristian Jesús Palomino-Ojeda, Lissette Haydee García-Mena, José Luis Maldonado-García, Óscar Ángel Vedia-Cruz, José Antonio García-Donaire, Iván Javier Núñez-Gil

Abstract read
In one paragraph

Article in REC, interventional cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Juan Miguel Guerrero-HernándezServicio de Cardiología, Hospital Universitario Clínico San Carlos, Madrid, España Servicio de Cardiología Hospital Universitario Clínico San Carlos Madrid España.
Cristian Jesús Palomino-OjedaFacultad de Ciencias de la Salud "Dr. Enrique Ortega Moreira-, Universidad Espíritu Santo, Samborondón, Ecuador Facultad de Ciencias de la Salud "Dr. Enrique Ortega Moreira- Universidad Espíritu Santo Samborondón Ecuador.
Lissette Haydee García-MenaDepartamento de Salud Digital, Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad de México, México Departamento de Salud Digital Facultad de Medicina Universidad Nacional Autónoma de México Ciudad de México México.
José Luis Maldonado-GarcíaDepartamento de Bioquímica, Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad de México, México Departamento de Bioquímica Facultad de Medicina Universidad Nacional Autónoma de México Ciudad de México México.
Óscar Ángel Vedia-CruzServicio de Cardiología, Hospital Universitario Clínico San Carlos, Madrid, España Servicio de Cardiología Hospital Universitario Clínico San Carlos Madrid España.
José Antonio García-DonaireServicio de Cardiología, Hospital Universitario Clínico San Carlos, Madrid, España Servicio de Cardiología Hospital Universitario Clínico San Carlos Madrid España.
Iván Javier Núñez-GilServicio de Cardiología, Hospital Universitario Clínico San Carlos, Madrid, España Servicio de Cardiología Hospital Universitario Clínico San Carlos Madrid España.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction and objectives: Ultrasound renal denervation (uRDN) has emerged as an innovative therapeutic approach for the treatment of hypertension. However, its efficacy compared to medication remains uncertain. We aimed to assess the efficacy profile of uRDN vs sham groups focusing on its impact on daytime ambulatory blood pressure, 24-hour blood pressure, home blood pressure and office blood pressure. Methods: We conducted a systematic search across Embase, PubMed, and Cochrane Library databases from their inception up 1 November 2024 to identify randomized controlled trials evaluating the efficacy of uRDN. Statistical analyses were performed using RevMan 6.3 software, utilizing the mean and standard deviation method to calculate mean differences with a 95% confidence interval (95%CI). Results: A total of 4 studies were included in the final analysis with 642 patients. uRDN significantly reduced daytime ambulatory systolic blood pressure (SBP) (-5.12 mmHg; 95%CI, -6.07 to -4.16; P ≤ .00001), 24-h SBP (-4.87 mmHg; 95%CI, -6.53 to -3.21]; P ≤ .00001), office SBP (-5.03 mmHg; 95%CI, -6.27 to -3.79; P ≤ .00001) and showed a decrease in patient medication 6 months after the procedure. Conclusions: Using uRDN leads to a lower blood pressure in patients within 2 months following the procedure. Additionally, after 6 months a significant decrease in drug use is observed.This meta-analysis protocol was registered on PROSPERO on 7 July 2024 (CRD42024562852).

Indexed as

AntihypertensiveDiastolic blood pressureResistant hypertensionSystolic blood pressuretreatmentsUltrasound renal denervation

Identifiers

PMID40933009
PMCPMC12418244

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.