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Revisiting renovascular imaging for renal sympathetic denervation: current techniques and applications

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Abstract

Renal sympathetic denervation (RDN) is an emerging technique in the treatment of resistant hypertension, most commonly performed using an endovascular approach. Clinical and anatomical criteria for RDN are well established and imaging plays an integral role in selecting patients with suitable anatomy, procedural planning and device selection. Nevertheless, the current body of literature surrounding imaging related to RDN remains limited. The purpose of this article is to illustrate the expectations and limitations of various imaging techniques, including Doppler ultrasound, CT angiography, MR angiography and newer techniques such as non-contrast MR angiography, in the context of RDN.

Key Points

• To understand the role of imaging in renal denervation

• To understand strengths and weaknesses of current imaging techniques

• To understand the relevant imaging findings in the context of renal denervation

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Acknowledgements

The scientific guarantor of this publication is U. Pua. The authors of this manuscript declare no relationships with any companies, whose products or services may be related to the subject matter of the article. The authors state that this work has not received any funding. No complex statistical methods were necessary for this article. Institutional Review Board approval was not required because this is a pictorial review. Written informed consent was waived by the Institutional Review Board. Methodology: retrospective.

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Authors and Affiliations

  1. Department of Diagnostic Radiology, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore

    Uei Pua & Cher Heng Tan

  2. Department of Cardiology, Tan Tock Seng Hospital, Singapore, Singapore

    Hee Hwa Ho, Julian Ko Beng Tan & Paul Jau Leong Ong

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  1. Uei Pua
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Correspondence to Uei Pua.

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Pua, U., Tan, C.H., Ho, H.H. et al. Revisiting renovascular imaging for renal sympathetic denervation: current techniques and applications. Eur Radiol 25, 444–453 (2015). https://doi.org/10.1007/s00330-014-3392-6

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  • DOI: https://doi.org/10.1007/s00330-014-3392-6

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