Selective renal denervation guided by renal nerve stimulation: mapping renal nerves for unmet clinical needs.
Journal
Journal of human hypertension
ISSN: 1476-5527
Titre abrégé: J Hum Hypertens
Pays: England
ID NLM: 8811625
Informations de publication
Date de publication:
10 2019
10 2019
Historique:
received:
30
12
2018
accepted:
29
07
2019
revised:
10
07
2019
pubmed:
4
9
2019
medline:
22
8
2020
entrez:
4
9
2019
Statut:
ppublish
Résumé
Renal denervation (RDN) is a well-known innovative therapy for hypertension. However, the effects of global RDN on blood pressure (BP) lowering are quite variable. Insufficient and futile denervation is considered a major factor contributing to the variable results. Mapping renal nerves by renal nerve stimulation (RNS) is the most promising technique to improve the efficacy of RDN. We summarize the clinical and experimental data available regarding RNS-guided RDN and explain the roles of renal efferent nerves, afferent nerves and vagal nerves in BP changes. We further identify five different BP response patterns to RNS and provide an explanation of the underlying neuroanatomical basis.
Identifiants
pubmed: 31477828
doi: 10.1038/s41371-019-0244-5
pii: 10.1038/s41371-019-0244-5
doi:
Substances chimiques
Antihypertensive Agents
0
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
716-724Références
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