Schmieder Roland, Burnier Michel, East Cara, Tsioufis Konstantinos, Delaney Sean
University Hospital Erlangen, Department of Nephrology and Hypertension Erlangen, Germany.
University Hospital Lausanne, Switzerland.
Interv Cardiol. 2023 Mar 7;18:e06. doi: 10.15420/icr.2022.38. eCollection 2023.
Growing evidence demonstrates the suitability of renal denervation in a broad population of patients; however, questions remain over its suitability and practical implementation. Given the rapidity of emerging data, this has been a challenging field for potential adopters to navigate. The purpose of this article is twofold: to provide navigation through emerging clinical data and evolving guidance; and to provide physicians with practical, evidence-based advice for identifying eligible patients and providing appropriate management in the pre- and postintervention settings. Although many of these recommendations are based on existing published guidance documents, we reflect equally on our own experiences of using this technology.
越来越多的证据表明肾去神经支配术适用于广泛的患者群体;然而,其适用性和实际实施仍存在问题。鉴于新出现的数据速度很快,这对潜在采用者来说是一个具有挑战性的领域。本文的目的有两个:梳理新出现的临床数据和不断演变的指南;为医生提供基于证据的实用建议,以识别 eligible 患者,并在干预前和干预后阶段提供适当的管理。虽然这些建议中的许多是基于现有的已发表指南文件,但我们也同样反思了我们自己使用这项技术的经验。 (注:原文中“eligible”未翻译完整,推测可能是“符合条件的”之类意思,可根据完整准确原文进一步完善)