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Related Experiment Video

Updated: May 10, 2026

Improved Renal Denervation Mitigated Hypertension Induced by Angiotensin II Infusion

Improved Renal Denervation Mitigated Hypertension Induced by Angiotensin II Infusion

Published on: May 26, 2022

Renal denervation: tips and tricks to perform a technically successful procedure.

Stefan C Bertog¹, Erwin Blessing, Laua Vaskelyte

¹CardioVascular Center Frankfurt, Frankfurt, Germany.

Eurointervention : Journal of Europcr in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology

|June 5, 2013

Summary

Percutaneous renal sympathetic denervation is generally straightforward but requires specific techniques for complex cases. This review offers practical tips for successful catheter-based renal denervation, enhancing patient outcomes.

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Published on: June 6, 2025

Area of Science:

Interventional Cardiology
Nephrology
Vascular Surgery

Background:

Percutaneous renal sympathetic denervation is an emerging treatment for resistant hypertension.
While technically feasible for most practitioners, certain clinical scenarios present challenges.

Purpose of the Study:

To provide practical guidance and procedural tips for successful catheter-based renal denervation.
To address specific challenges encountered in complex abdominal aortic anatomy and renal insufficiency.

Main Methods:

Review of equipment, antiplatelet and anticoagulant strategies.
Detailed procedural technique with tips and tricks.
Discussion of alternative approaches like carbon dioxide angiography and brachial artery access.

Main Results:

Successful renal denervation can be achieved with careful planning and technique adaptation.
Specific strategies are crucial for managing patients with renal insufficiency or complex aortic anatomy.

Conclusions:

Catheter-based renal denervation is a viable option when performed with appropriate technical considerations.
This review aims to enhance the success rate and safety of renal denervation procedures.