医学
血压
回廊的
肾动脉
肾功能
心脏病学
动态血压
肾动脉狭窄
内科学
去神经支配
前瞻性队列研究
肾交感神经失神经
外科
肾
抵抗性高血压
作者
Horst Sievert,Joachim Schofer,John A. Ormiston,Uta C. Hoppe,Ian T. Meredith,Darren L. Walters,Michel Azizi,Juan Diaz-Cartelle,Meital Cohen-Mazor
出处
期刊:Eurointervention
[Europa Digital and Publishing]
日期:2015-02-01
卷期号:10 (11): 1213-1220
被引量:50
摘要
To evaluate the safety and efficacy of the balloon-based bipolar Vessix Renal Denervation System in treating patients with resistant hypertension.In this prospective, multicentre, single-arm study, 146 patients (age 58.6±10.5 years; 61% men) with office systolic blood pressure (BP) ≥160 mmHg despite ≥3 antihypertensive medications at maximally tolerated doses were treated with the Vessix System. Efficacy endpoints were reductions in office and 24-hour ambulatory systolic and diastolic BPs at six months. Acute and long-term safety, with a focus on the renal artery and estimated glomerular filtration rate (eGFR), were assessed. Baseline office and ambulatory BPs were 182.4±18.4/100.2±14.0 mmHg and 153.0±15.1/87.5±13.2 mmHg, respectively. No acute renal artery injury requiring intervention or serious periprocedural cardiovascular events occurred. At six months, office BP was reduced by 24.7±22.1/10.3±12.7 mmHg (p<0.0001) and ambulatory BP was reduced by 8.4±14.4/5.9±9.1 mmHg (N=69; p<0.0001). Twenty-six patients (18%) achieved an office systolic BP <140 mmHg. One patient had renal artery stenosis which required stenting. Mean eGFR remained stable.Renal artery denervation with the Vessix System reduced both office and ambulatory BP at six months in patients with resistant hypertension. Renal artery safety and renal function results are favourable.
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