The carotid body is located at the bifurcation of the internal and external carotid arteries. It is a chemoreceptor that plays a role in the sympathetic nervous system and in the development and maintenance of hypertension. Hypertension is a major cardiovascular risk factor and is associated with coronary artery disease, stroke, chronic kidney disease, and heart failure. The objective of this study is to assess the effectiveness and safety of a catheter-based system to ablate the carotid body and reduce blood pressure (BP) in patients with resistant hypertension and to confirm sustainability of the treatment benefits long-term as seen following surgical CB removal.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
39
The Cibiem Transvenous Ultrasound System (CTUS) is a catheter based device delivering ultrasound energy to ablate the carotid body. The procedure is done via a percutaneous insertion of the CTUS and advancement through the femoral vein to the jugular vein in subjects with difficult to control hypertension. The procedure duration is expected to range between 60 to 90 minutes and is performed under fluoroscopic and ultrasound image guidance.
Royal Adelaide Hospital
Adelaide, South Australia, Australia
Fiona Stanley Hospital
Murdoch, Western Australia, Australia
Royal Perth Hospital
Perth, Western Australia, Australia
Na Homolce Hospital
Prague, Czechia
Clinic Cardiology and Angiology II
Bad Krozingen, Germany
Cardiovascular Center Frankfurt (CVC Frankfurt)
Frankfurt, Germany
Klinik für Innere Medizin III
Homburg, Germany
Safety as assessed by incidence of major adverse events
Safety assessed as the combined rate of major adverse events defined as all-causes of death, hospitalization for hypertensive crisis not related to confirmed non-adherence with anti-hypertensive medications, and any device or procedure-related serious adverse event.
Time frame: From procedure to one month post-procedure
Mean reduction in 24-hour ambulatory systolic and diastolic blood pressure
Time frame: Baseline versus six months post-procedure
Composite rate of major adverse events
Safety assessed as the combined rate of major adverse events defined as all-causes of death and hospitalization for hypertensive crisis not related to confirmed non-adherence with anti-hypertensive medications
Time frame: At 6, 12, 18, and 24 months post-procedure
Mean reduction in office systolic and diastolic blood pressure, and home systolic and diastolic blood pressure
Time frame: Baseline versus 3, 6, 12, 18, and 24 months
Proportion of subjects with controlled blood pressure at 6, 12, 18, and 24 months post-procedure
Controlled blood pressure is defined as office blood pressure \<140/90 mmHg, mean 24-hr ABP \<130/80 mmHg, daytime ABP \<135/85 mmHg, and mean nighttime ABP \<120/70 mmHg
Time frame: At 6, 12, 18, and 24 months
Ventricular morphometric improvements from cardiac MRI measurements
Time frame: Screening versus 12 and 24 months
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