Peri-Procedural Care of Renal Nerve Ablation Candidates

Title:Peri-Procedural Care of Renal Nerve Ablation Candidates

Volume: 8 Issue: 3

Author(s): Costas Tsioufis, Kyriakos Dimitriadis, Costas Thomopoulos, Dimitris Tsiachris, Alexandros Kasiakogias, Konstantinos Kintis, Dimitris Flesas, Vasilios Papademetriou and Christodoulos Stefanadis

Affiliation:

Keywords: Invasive procedure, renal denervation, resistant hypertension.

Abstract: Percutaneous catheter-based transluminal renal nerve ablation (RNA) by delivery of radiofrequency energy constitutes a novel therapeutic strategy for the treatment of resistant hypertension. The sympathetic nervous activation to the kidney and the sensory afferent signals to the central nervous system represent the targets of RNA. In this review we summarize current recommendations for appropriate patient selection for RNA and multimodal strategies in order to optimize pharmacological treatment for resistant hypertension. The safety and efficacy of the RNA based on published trials are also presented. Furthermore, a detailed description of the periprocedural management, the methodology of the RNA procedure and appropriate follow-up are provided. In conclusion, in order to improve the overall clinical outcome and achieve optimal management of resistant hypertensive patients before and after the RNA, experienced and certified centers are of major importance.

Cite this article as:

Tsioufis Costas, Dimitriadis Kyriakos, Thomopoulos Costas, Tsiachris Dimitris, Kasiakogias Alexandros, Kintis Konstantinos, Flesas Dimitris, Papademetriou Vasilios and Stefanadis Christodoulos, Peri-Procedural Care of Renal Nerve Ablation Candidates, Current Clinical Pharmacology 2013; 8 (3) . https://dx.doi.org/10.2174/1574884711308030008