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- Title
Safety and Feasibility of Renal Sympathetic Denervation in Patients With Insufficient Renal Artery Length.
- Authors
Pua, Uei; Tang, Alex Ah Lak; Ooi, Yau Wei; Ho, Hee Hwa; Ong, Paul Jau Leong
- Abstract
Insufficient renal artery length for renal sympathetic denervation (RDN) is defined as having a main renal artery shorter than 20 mm in length. Such an anatomy is considered a contraindication for most of the currently available endovascular RDN devices. The concern stems from the need to distribute the ablation points to effect circumferential ablation causing sympathetic denervation, without the risk of injuring the renal artery. We postulate that if the requisite ablation points could be distributed between large caliber renal branches and the short main renal artery, RDN is likely feasible and safe. We demonstrate this with 2 cases using 2 different RDN devices and detail the technical feasibility.
- Subjects
THERAPEUTICS; RENAL artery; ANGIOGRAPHY; HYPERTENSION; SAFETY; SYMPATHECTOMY; EQUIPMENT &; supplies; ANATOMY
- Publication
Vascular & Endovascular Surgery, 2016, Vol 50, Issue 1, p63
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574416629564