Gomez Sabas I, Urbandt Pablo, Beohar Nirat, Santana Orlando
Division of Internal Medicine and Columbia University Division of Cardiology, Mount Sinai Heart Institute, Miami Beach, FL.
Rev Cardiovasc Med. 2014;15(4):351-7. doi: 10.3909/ricm0720.
Despite the variety of antihypertensive agents that are available, resistant hypertension remains a significant clinical problem and a substantial economic burden. Over the past several years, renal sympathetic denervation has been introduced as a potential therapeutic option for this clinical problem. It is a catheter-based procedure that is showing promising results and appears to be associated with minimal or low risk. Thus far, two completed clinical trials have demonstrated excellent safety and encouraging outcomes. A review of these trials is the focus of this article, in addition to the analysis of ongoing studies, and the possible future applications of this technique.
尽管现有多种抗高血压药物,但顽固性高血压仍然是一个重大的临床问题和沉重的经济负担。在过去几年中,肾交感神经去支配术已被引入作为解决这一临床问题的潜在治疗选择。这是一种基于导管的手术,已显示出有前景的结果,并且似乎与极低或低风险相关。迄今为止,两项已完成的临床试验已证明其具有卓越的安全性和令人鼓舞的结果。除了对正在进行的研究以及该技术未来可能的应用进行分析之外,本文重点对这些试验进行综述。