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June 9, 2016Netherlands Heart JournalOpen Access

Renal denervation: are we at a crossroads?

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Key result

Renal denervation for hypertension faces challenges regarding efficacy and patient selection, necessitating future randomized sham-controlled trials to identify responders and optimize techniques.

Why the study?

Does renal denervation reduce blood pressure in patients with resistant hypertension compared to sham control?

Population

Patients with sympathetic hyperactivity associated disease states, such as resistant hypertension

Comparison

Renal denervation (RDN) vs Sham control

Design

Editorial

Authors

MVMichiel Voskuil

Discussion

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Overview

Warrants caution with RDN for hypertension; leaves open refined techniques in selected patients.

Structured PICO

Does renal denervation reduce blood pressure in patients with resistant hypertension compared to sham control?

P
Population
Patients with sympathetic hyperactivity associated disease states, such as resistant hypertension
I
Intervention
Renal denervation (RDN)
C
Comparator
Sham control
O
Outcome
Reduction in systolic blood pressure (office and ambulatory)surrogate

The editorial emphasizes the critical need for randomized, sham-controlled phase 3 trials to accurately assess the efficacy of renal denervation for hypertension, given the neutral results of prior rigorous trials and the methodological flaws of observational studies.

Limitations

  • This is an editorial comment and does not present original primary research data.
  • Lack of a control group in observational studies discussed
  • Bias introduced by excluding non-responders in observational studies discussed

Cite This Study

Michiel Voskuil (2016) conducted an editorial in Hypertension. Renal denervation was evaluated. Renal denervation for hypertension faces challenges regarding efficacy and patient selection, necessitating future randomized sham-controlled trials to identify responders and optimize techniques.

synapsesocial.com/papers/6a6eb0c126a7f98052dbc0c2https://doi.org/10.1007/s12471-016-0856-0
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Renal denervation for resistant hypertension2016 · 5 citations
  2. 2Con: Renal denervation for all resistant hypertensive patients: the Emperor's new clothes2014 · 4 citations
  3. 3What Is Happening in the Area of Device‐Based Blood Pressure Treatment?2015
  4. 42013: The Year of Renal Denervation?2013
  5. 5Proceedings from the European clinical consensus conference for renal denervation: considerations on future clinical trial design: Figure 12015 · 177 citations