Reichel, M. and Zechmeister-Koss, I. (2012): Renal denervation in patients with essential hypertension . Decision Support Document 45 / Update 2012.
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Background: Sympathic denvervation of the nerves of the renal arteries is used to prevent the renal effect of increasing blood pressure. This is a new therapy option for patients with essential hypertension.
Method: A literature search identified 66 records. Including the systematic review 2011 and the update report, in total one RCT and two before-after-studies were included for the analysis and synthesis of the evidence.
Results: Regarding the outcomes, the studies show a two years lowering effect on blood pressure. Nevertheless they do not provide information on mortality, long-term efficacy and quality of life.
Conclusion and Recommendation: Given the current paucity of evidence, renal denervation in essential hypertension can currently not be recommended for inclusion in the Austrian hospital services catalogue.
|Item Type:||Decision Support Document|
|Keywords:||Hypertension, hypertonicity, sympathectomy, kidney innervation, endovascular therapy, catheter ablation|
|Subjects:||WO Surgery > WO 500-517 Operative surgical procedures. Techniques|
WG Cardiovascular system
WO Surgery > WO 505 Minimally invasive surgical procedures
WJ Urogenital system > WJ 300-378 Kidney
WL Nervous system > WL 600-610 Autonomic nervous system
|Series Name:||Decision Support Document 45 / Update 2012|
|Deposited on:||24 Jul 2012 12:07|
|Last Modified:||24 Jul 2012 12:07|
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