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Procedural Aspects of Renal Sympathetic Denervation

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Interventional Therapies for Secondary and Essential Hypertension

Part of the book series: Updates in Hypertension and Cardiovascular Protection ((UHCP))

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Abstract

Renal sympathetic denervation (RDN) has, until recently, been a black box procedure, driven by incomplete knowledge on the anatomy of the sympathetic nervous system. In recent years, several procedural advancements have been made. The distribution of sympathetic nerves in the relation to the renal arteries has been further analyzed. The impact of different lesion sites, lesion numbers, and patterns has been evaluated. The spectrum of denervation techniques and systems has been expanded and adjusted according to new anatomical findings. In addition, possibilities of intra-procedural efficacy evaluation are being developed. The following chapter summarizes our current knowledge and recent developments on procedural aspects of renal denervation. It then outlines steps prior, during, and post procedure with instructions on the commercially available renal denervation systems.

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Abbreviations

BP:

Blood pressure

HTN:

Hypertension

RDN:

Renal denervation

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Authors and Affiliations

  1. Universitätsklinikum des Saarlandes, Klinik für Innere Medizin III, Kardiologie, Angiologie und Internistische Intensivmedizin, Kirrberger Str., Homburg/Saar, DE, 66424, Germany

    Ina Zivanovic, Sebastian Ewen, Michael Böhm & Felix Mahfoud MD, FESC

Authors
  1. Ina Zivanovic
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  2. Sebastian Ewen
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  3. Michael Böhm
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  4. Felix Mahfoud MD, FESC
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Corresponding author

Correspondence to Felix Mahfoud MD, FESC .

Editor information

Editors and Affiliations

  1. First Cardiology Clinic, National and Kapodistrian University of Athens, Athens, Greece

    Costas Tsioufis

  2. Department of Nephrology and Hypertension, University Hospital Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany

    Roland E. Schmieder

  3. IRCCS Istituto Auxologico Italiano, University Milano-Bicocca, Milano Monza, Italy

    Giuseppe Mancia

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Zivanovic, I., Ewen, S., Böhm, M., Mahfoud, F. (2016). Procedural Aspects of Renal Sympathetic Denervation. In: Tsioufis, C., Schmieder, R., Mancia, G. (eds) Interventional Therapies for Secondary and Essential Hypertension. Updates in Hypertension and Cardiovascular Protection. Springer, Cham. https://doi.org/10.1007/978-3-319-34141-5_14

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  • DOI: https://doi.org/10.1007/978-3-319-34141-5_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-34140-8

  • Online ISBN: 978-3-319-34141-5

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