Effects of Renal Denervation Documented in the Austrian National Multicentre Renal Denervation Registry

Renal denervation (RDN) is a new procedure for treatment-resistant hypertensive patients. In order to monitor all procedures undergone in Austria, the Austrian Society of Hypertension established the investigator-initiated Austrian Transcatheter Renal Denervation (TREND) Registry. From April 2011 to September 2014, 407 procedures in 14 Austrian centres were recorded. At baseline, office and mean 24-h ambulatory blood pressure (ABP) were 171/94 and 151/89 mmHg, respectively, and patients were taking a median of 4 antihypertensive medications. Mean 24-h ABP changes after 2-6 weeks, 3, 6 and 12 months were -11/-6, -8/-4, -8/-5 and -10/-6 mmHg (p<0.05 at all measurements), respectively. The periprocedural complication rate was 2.5%. Incidence of long-term complications during follow-up (median 1 year) was 0.5%. Office BP and ABP responses showed only a weak correlation (Pearson coefficient 0.303). Based on the data from the TREND registry, ambulatory blood pressure monitoring in addition to office BP should be used for patient selection as well as for monitoring response to RDN. Furthermore, criteria for optimal patient selection are suggested.

Medienart:

E-Artikel

Erscheinungsjahr:

2016

Erschienen:

2016

Enthalten in:

Zur Gesamtaufnahme - volume:11

Enthalten in:

PloS one - 11(2016), 8 vom: 26., Seite e0161250

Sprache:

Englisch

Beteiligte Personen:

Zweiker, David [VerfasserIn]
Lambert, Thomas [VerfasserIn]
Steinwender, Clemens [VerfasserIn]
Weber, Thomas [VerfasserIn]
Suppan, Markus [VerfasserIn]
Brussee, Helmut [VerfasserIn]
Koppelstätter, Christian [VerfasserIn]
Kerschbaum, Julia [VerfasserIn]
Watschinger, Bruno [VerfasserIn]
Hohenstein-Scheibenecker, Katharina [VerfasserIn]
Reindl-Schwaighofer, Roman [VerfasserIn]
Sturmberger, Thomas [VerfasserIn]
Kindslehner, Claudia [VerfasserIn]
Weiss, Thomas Werner [VerfasserIn]
Rohla, Miklos [VerfasserIn]
Gruener, Peter [VerfasserIn]
Maister, Petra [VerfasserIn]
Auer, Johann [VerfasserIn]
Dechant, Cornelia [VerfasserIn]
Sykora, Josef [VerfasserIn]
Krismer, Christoph [VerfasserIn]
Glaser, Stefan [VerfasserIn]
Zweiker, Robert [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Multicenter Study

Anmerkungen:

Date Completed 02.08.2017

Date Revised 13.11.2018

published: Electronic-eCollection

Citation Status MEDLINE

doi:

10.1371/journal.pone.0161250

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM263476162