Predictive factors for successful renal denervation: should we use them in clinical trials?

Eur J Clin Invest. 2017 Nov;47(11):860-867. doi: 10.1111/eci.12792. Epub 2017 Oct 16.

Abstract

Renal denervation (RDN) is facing various challenges to its initial claimed value in hypertension treatment. Major concerns are the choice of the patients and the technical efficacy of the RDN. Different factors have been described as predicting the capacity of RDN to decrease blood pressure. These factors are related to the patients, the procedure and the tools to confirm successful neural ablation. Their use in future trials should help to improve RDN trials understanding and outcomes. This review summarizes the different predictive factors available and their potential benefits in patient selection and in procedure guidance.

Keywords: Clinical trials; hypertension; renal denervation; sympathetic nervous system.

Publication types

  • Review

MeSH terms

  • Ablation Techniques / education
  • Ablation Techniques / instrumentation
  • Ablation Techniques / methods
  • Biomarkers / metabolism
  • Blood Pressure / physiology
  • Clinical Trials as Topic / methods
  • Equipment Design
  • Humans
  • Hypertension, Renal / physiopathology
  • Hypertension, Renal / surgery*
  • Obesity / complications
  • Patient Safety
  • Patient Selection
  • Predictive Value of Tests
  • Renal Artery / innervation
  • Renal Insufficiency, Chronic / complications
  • Renal Insufficiency, Chronic / physiopathology
  • Sleep Apnea, Obstructive / complications
  • Sympathectomy*
  • Treatment Outcome

Substances

  • Biomarkers