Trial reportHypertension (Dallas, Tex. : 1979)2026
Aorticorenal Ganglion Ablation Enhances Blood Pressure Reduction After Renal Denervation.
Trial report in Hypertension (Dallas, Tex. : 1979), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05590871 (3D Cardiac Electrophysiological Mapping System on Renal Artery Radiofrequency Ablation System for Hypertension), which is not on this map. Not yet cited in PubMed.
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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.
The trial behind it
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3D Cardiac Electrophysiological Mapping System on Renal Artery Radiofrequency Ablation System for Hypertension: a Prospective, Multicenter, Randomized Controlled Trial
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13 authors.
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Abstract
backgroundThe aorticorenal ganglion (ARG), an upstream component of renal sympathetic fibers, may represent a novel target for autonomic modulation in hypertension. This study evaluated the effects of adjunctive ARG ablation after renal denervation (RDN) on blood pressure (BP) and its autonomic mechanisms.
methodsPatients with uncontrolled hypertension scheduled for RDN were enrolled, and additional ablation was performed if an elevation in SBP was observed by high-frequency stimulation at the ARG region (RDN+ARG ablation). This exploratory analysis assessed the change in 24-hour average ambulatory systolic BP from baseline to 3 months. To explore the effects of ARG ablation on BP and sympathetic activity, we compared ARG ablation with RDN in a canine model.
resultsA total of 41 patients (n=20 RDN; n=21 RDN+ARG ablation) were enrolled. At 3 months, the reduction in 24-hour average ambulatory systolic BP from baseline was -9.7±10.8 mm Hg in the RDN group and -18.2±10.8 mm Hg in the RDN+ARG ablation group, with a between-group difference of -7.5 mm Hg (95% CI, -13.9 to -1.2 mm Hg;
conclusionsThese results establish the ARG as a pivotal regulator of systemic sympathetic tone and a promising therapeutic target for hypertension. Additional ARG ablation to RDN may represent a more effective interventional strategy, warranting validation in large-scale clinical trials. REGISTRATION: URL: https://www.clinicaltrials.gov; Unique identifier: NCT05590871.
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