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Renal Denervation Therapy: A Revolutionary Approach to Taming Hypertension

Nov 20, 2023
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The month of November 2023 saw a huge milestone in the treatment of hypertension. On November 8 the FDA approved the 1st transcatheter renal denervation system from Recor . On November 17 the FDA followed with approval of the Medtronic Spyral system.

Hypertension, commonly known as high blood pressure, affects millions of people worldwide and is a major risk factor for cardiovascular diseases. Despite lifestyle changes and medications, some individuals struggle to achieve optimal blood pressure levels. In recent years, a groundbreaking treatment called Renal Denervation Therapy has emerged as a promising solution for those battling resistant hypertension.

Understanding Resistant Hypertension: Resistant hypertension is a condition where blood pressure remains elevated despite the use of three or more antihypertensive medications. This challenging scenario often requires alternative approaches to manage blood pressure effectively and reduce the risk of complications.

Renal Denervation Therapy Explained: Renal denervation therapy is a minimally invasive procedure designed to target the sympathetic nerves in the renal arteries, which play a crucial role in regulating blood pressure. These nerves communicate with the brain, signaling the release of hormones that can raise blood pressure. By interrupting this communication through denervation, the procedure aims to lower blood pressure and improve overall cardiovascular health.

The Procedure: During renal denervation, a specialized catheter is threaded through the arteries to reach the renal arteries. Once in position, the catheter delivers controlled radiofrequency energy to ablate (or deactivate) the sympathetic nerves surrounding the arteries. This process disrupts the nerve signals responsible for raising blood pressure, ultimately promoting better blood pressure control.

Patient Eligibility: Renal denervation therapy is typically considered for individuals with resistant hypertension who have not achieved satisfactory blood pressure levels with conventional treatments. Before undergoing the procedure, patients undergo a thorough evaluation to ensure they meet the necessary criteria.

Benefits of Renal Denervation Therapy:

  1. Blood Pressure Reduction: Clinical studies have shown that renal denervation therapy can lead to a significant reduction in systolic and diastolic blood pressure, contributing to improved cardiovascular health.

  2. Medication Reduction: Some patients may experience a reduction in the number of antihypertensive medications required after undergoing renal denervation, potentially minimizing side effects associated with multiple medications.

  3. Long-term Efficacy: Research indicates that the positive effects of renal denervation therapy can persist over the long term, providing a sustained benefit for those with resistant hypertension.

  4. Improved Quality of Life: As blood pressure is better controlled, patients may experience an enhanced quality of life with reduced symptoms and a lower risk of hypertension-related complications.

In conclusion, Renal denervation therapy represents a promising frontier in the treatment of resistant hypertension. While it is not a cure-all, this innovative approach offers hope for individuals struggling to manage their blood pressure through traditional means. As research and clinical trials continue, renal denervation therapy may become an increasingly integral part of the comprehensive strategy against hypertension, helping patients achieve better cardiovascular health and an improved overall well-being. If you or a loved one is dealing with resistant hypertension, consult with your healthcare provider to explore whether renal denervation therapy could be a suitable option.

Please let us know if you have any questions regarding renal denervation therapy for high blood pressure please call us on 813-780-6687. 

Florida Heart Institute serves the Greater Tampa bay area with offices in Eastren Hillsbourgh, Pasco and Polk counties providing comprehensive cardiovascular care solutions including consultation, testing and interventions. 

 

Abdul Saadi MD FACC FSCAI
Interventional cardiologist 
Florida Heart Institute   

6833 Medical View Ln
Zephyrhills, FL, 33542