کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2927460 1176167 2015 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Renal sympathetic denervation using an externally irrigated radiofrequency ablation catheter for treatment of resistant hypertension – Acute safety and short term efficacy
ترجمه فارسی عنوان
سونوگرافی سمپاتیک کلیه با استفاده از کاتتر تخلیه رادیویی فرکانس آبی فرابنفش برای درمان فشار خون بالا مقاوم است. ایمنی حاد و کارآیی کوتاه مدت
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی

ObjectivesThis study was conducted to assess the acute safety and short term efficacy of renal sympathetic denervation (RSDN) using solid tip radiofrequency ablation (RFA) catheter and saline irrigation through the renal guiding catheter to achieve effective denervation.BackgroundRSDN using a specialized solid-tip RFA catheter has recently been demonstrated to safely reduce systemic blood pressure in patients with refractory hypertension, the limitation being inadequate power delivery in renal arteries. So, we used solid-tip RFA catheter along with saline irrigation for RSDN.MethodsNine patients with resistant hypertension underwent CT and conventional renal angiography, followed by bilateral or unilateral RSDN using 5F RFA catheter with saline irrigation through renal guiding catheter. Repeat renal angiography was performed at the end of the procedure. In all patients, pre- and post-procedure serum creatinine was measured.ResultsOver 1-month period: 1) the systolic/diastolic blood pressure decreased by −57 ± 20/−25 ± 7.5 mm Hg; 2) all patients experienced a decrease in systolic blood pressure of at least −36 mm Hg (range 36–98 mm Hg); 3) there was no evidence of renal artery injury immediate post-procedure. There was no significant change in serum creatinine level.ConclusionsThis data shows the acute procedural safety and short term efficacy of RSDN using modified externally irrigated solid tip RFA catheter.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Indian Heart Journal - Volume 67, Issue 3, May–June 2015, Pages 207–213
نویسندگان
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