Renal denervation: time to open Pandora's box.

Abstract:

:Depending on the populations studied and the definitions applied, the prevalence of treatment-resistant hypertension varies from 10% to 15%, but is higher in conditions associated with increased sympathetic drive, such as obesity, obstructive sleep apnoea, diabetes or renal dysfunction. The Symplicity studies recently demonstrated that reducing sympathetic tone by intravascular renal denervation is feasible in treatment-resistant hypertension, but failed to provide conclusive evidence on the size and durability of the antihypertensive, renal and sympatholytic effects, long-term safety, quality of life, the possibility to relax antihypertensive drug treatment, cost-effectiveness, and long-term hard cardiovascular-renal outcomes. Renal denervation should therefore only be offered within a clinical research context at highly skilled tertiary referral centres that participate in international registries constructed independent of the manufacturers.

journal_name

Swiss Med Wkly

journal_title

Swiss medical weekly

authors

Gu YM,Asayama K,Liu YP,Staessen JA

doi

10.4414/smw.2012.13638

subject

Has Abstract

pub_date

2012-07-17 00:00:00

pages

w13638

eissn

1424-7860

issn

1424-3997

pii

smw-13638

journal_volume

142

pub_type

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