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Transcatheter renal denervation for the treatment of resistant arterial hypertension: the Swiss expert consensus

Wuerzner, Gregoire
Muller, Olivier
Erne, Paul
Cook, Stéphane
Sudano, Isabella
Lüscher, Thomas F
Noll, Georg
Kaufmann, Urs
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Published in Swiss Medical Weekly. 2014, vol. 144, w13913
Abstract Transcatheter (or percutaneous) renal denervation is a novel technique developed for the treatment of resistant hypertension. So far, only one randomised controlled trial has been published, which has shown a reduction of office blood pressure. The Swiss Society of Hypertension, the Swiss Society of Cardiology, The Swiss Society of Angiology and the Swiss Society of Interventional Radiology decided to establish recommendations to practicing physicians and specialists for good clinical practice. The eligibility of patients for transcatheter renal denervation needs (1.) confirmation of truly resistant hypertension, (2.) exclusion of secondary forms of hypertension, (3.) a multidisciplinary decision confirming the eligibility, (4.) facilities that guarantee procedural safety and (5.) a long-term follow-up of the patients, if possible in cooperation with a hypertension specialist. These steps are essential until long-term data on safety and efficacy are available.
Keywords Antihypertensive Agents/therapeutic useArterial PressureConsensusDrug ResistanceHumansHypertension/drug therapy/surgeryKidney/innervationPatient SelectionSwitzerlandSympathectomy/adverse effects/methods
PMID: 24652665
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Research group Hypertension artérielle (128)
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WUERZNER, Gregoire et al. Transcatheter renal denervation for the treatment of resistant arterial hypertension: the Swiss expert consensus. In: Swiss Medical Weekly, 2014, vol. 144, p. w13913. doi: 10.4414/smw.2014.13913 https://archive-ouverte.unige.ch/unige:78104

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Deposited on : 2015-12-02

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