Evidence map›Paper›PMID 41238812›Full record

Trial reportHypertension research : official journal of the Japanese Society of Hypertension2026

Efficacy and safety of a modified ozone-mediated neurolysis in treatment for patients with resistant hypertension.

Lishuai Zhang, Bin Huang, Yizhi Zhang, Fang Zeng, PIngge Tian, Biao Li, Xiwei Chen, Jiashuang Wang, Yihui Huang, Li Li

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in Hypertension research : official journal of the Japanese Society of Hypertension, 2026. 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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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Lishuai Zhang *Guangzhou Red Cross Hospital, Jinan University, Guangzhou, China.
Bin Huang *Guangzhou Red Cross Hospital, Jinan University, Guangzhou, China.
Yizhi Zhang *Shanghai RenJi Hospital, Shanghai Jiaotong University, Shanghai, China.
Fang ZengGuangzhou Red Cross Hospital, Jinan University, Guangzhou, China.
PIngge TianGuangzhou Red Cross Hospital, Jinan University, Guangzhou, China.
Biao LiGuangzhou Red Cross Hospital, Jinan University, Guangzhou, China.
Xiwei ChenGuangzhou Red Cross Hospital, Jinan University, Guangzhou, China.
Jiashuang WangGuangzhou Red Cross Hospital, Jinan University, Guangzhou, China.
Yihui HuangGuangzhou Red Cross Hospital, Jinan University, Guangzhou, China. hyh930@sina.com.
Li LiGuangzhou Red Cross Hospital, Jinan University, Guangzhou, China. ivuslily@ext.jnu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The sympathetic ganglion was the initial target of renal denervation (RDN) for treating resistant hypertension (RH). In this pilot Phase II single-arm, open-label clinical trial, we developed a modified neurolysis technique based on one of the traditional pain-relieving techniques, CT-guided ozone-mediated neurolysis, to treat RH. A total of 45 patients were enrolled and underwent the operation, which involved the injection of an oxygen-ozone gas mixture around the lumbar/renal ganglia under CT guidance. Following the procedure, the antihypertensive medication burden (AHMB) decreased from 4.2 pre-procedure to 3.5 at 3 months and 3.2 at 6 months post-procedure. Additionally, at 3 months post-procedure follow-up, there was a significant decrease in the average 24-h mean systolic blood pressure (SBP) by -6.8 ± 2.1 mmHg, morning SBP/diastolic blood pressure (DBP) by -9.2 ± 2.3/-4.7 ± 1.3 mmHg, and daytime SBP/DBP by -8.0 ± 2.4/-2.9 ± 1.5 mmHg. By 6 months post-procedure follow-up, compared with pre-operation values, we observed a significant decrease in the average 24-h SBP by -5.53 ± 0.76 mmHg, morning SBP by -5.6 ± 2.1 mmHg, and daytime SBP/DBP by -7.2 ± 0.96/-2.3 ± 0.6 mmHg. We did not find significant reductions in the 24-h mean DBP, morning DBP, and nighttime SBP/DBP at the 6-month follow-up. No adverse events were observed during or after the procedure. We concluded that CT-guided ozone-mediated neurolysis targeting the renal-related lumbar ganglia is a promising alternative for treating RH, with advantages including being minimally invasive, contrast-free, non-invasive to the renal artery, and cost-effective.

Indexed as

HypertensionOzoneSympathectomyAdultAgedAntihypertensive AgentsBlood PressureFemaleGanglia, SympatheticHumansKidneyMaleMiddle AgedPilot ProjectsTreatment OutcomeAntihypertensive AgentsOzonelumbar gangliaNeurolysisOzoneResistant hypertension, Digital hypertension

Identifiers

PMID41238812
PMCPMC12960251

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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.