Comparison of standard renal denervation procedure versus novel distal and branch vessel procedure with brachial arterial access

We assessed a novel approach to percutaneous renal denervation for uncontrolled hypertension consisting of ablation beyond the proximal main renal artery (Y-pattern), including the primary branches, and compared it to the standard procedure applied only within the main vessel. We also assessed the s...

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Bibliographic Details
Published in:Cardiovascular revascularization medicine 2019-01, Vol.20 (1), p.38-42
Main Authors: Petrov, Ivo, Tasheva, Iveta, Garvanski, Iskren, Stankov, Zoran, Simova, Iana
Format: Article
Language:English
Subjects:
Aged
Blood Pressure
Brachial approach
Brachial Artery
Catheter Ablation - adverse effects
Catheterization, Peripheral - adverse effects
Catheterization, Peripheral - methods
Female
Femoral Artery
Humans
Hypertension - physiopathology
Hypertension - surgery
Kidney - blood supply
Male
Middle Aged
Punctures
Renal Artery - innervation
Renal denervation
Resistant hypertension
Sympathectomy - adverse effects
Sympathectomy - methods
Treatment Outcome
Y-Pattern
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Summary:We assessed a novel approach to percutaneous renal denervation for uncontrolled hypertension consisting of ablation beyond the proximal main renal artery (Y-pattern), including the primary branches, and compared it to the standard procedure applied only within the main vessel. We also assessed the safety and practicality of a brachial access approach. Renal denervation was performed on 119 consecutive patients (60 ± 13 years). In 68 of the patients, femoral arterial vascular approach was used and in 51 brachial. In 80 patients treated with the standard ablation, 12.0 ± 3.0 total ablations (both sides) were applied while 20.4 ± 3.9 total ablations were delivered for the group of 39 patients with Y-pattern denervation (P 
ISSN:1553-8389
1878-0938
DOI:10.1016/j.carrev.2018.05.011