As one of the most common chronic diseases,The adult prevalence of hypertension is approximately 26.4% at present and will rise to 29.2% by 2025.Renal sympathetic denervation from the intima of renal artery has emerged as a potential treatment for resistant hypertension. However, renal sympathetic nerve are mainly located in the adventitia,and there is no report on renal sympathetic denervation from the adventitia of renal artery.This study is a multicenter,randomized,single-blind study,and aimed to observe the safety and efficacy of radiofrequency ablation of the renal artery from the adventitia on the basis of laparoscopic techniques for patients with resistant hypertension.
This study is a multicenter,randomized,single-blind study,and aimed to observe the safety and efficacy of radiofrequency ablation of the renal artery from the adventitia on the basis of laparoscopic techniques for patients with resistant hypertension.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
126
Renal Sympathetic Denervation from the adventitia of renal artery
Zhengzhou university People's Hospital
Zhengzhou, Henan, China
RECRUITINGChange in 24-hour average systolic blood pressure by ABPM in 6 months after discharge .
Time frame: Baseline to 6 months
Change in types and doses of antihypertensive medications in 1,3,6,12 months after discharge.
Time frame: Baseline to 1 months,3 months,6 months,12 months
Change in 24-hour average diastolic blood pressure,daytime and nighttime systolic/diastolic blood pressure by ABPM in 6 months after discharge
Time frame: Baseline to 6 months
Change in 24-hour average blood pressure,daytime and nighttime systolic/diastolic blood pressure by ABPM in 1,3,12 months after discharge
Time frame: Baseline to 1 months,3 months,12 months
Change in office systolic/diastolic blood pressure in 1,3,6,12 months after discharge
Time frame: Baseline to 1 months,3 months,6 months,12 months
Change in systolic/diastolic blood pressure by home blood pressure monitoring in 1,3,6,12 months after discharge
Time frame: Baseline to 1 months,3 months,6 months,12 months
renal function in 1,3,6,12 months after discharge
Time frame: Baseline to 1 months,3 months,6 months,12 months
The surgical complications of renal artery perforation,such as stenosis,and dissection associated with radiofrequency surgery.And major cardiovascular and cerebrovascular events ,including cardiac death,stroke and nonfatal- myocardial infarction.
Time frame: Baseline to 6 months,12 months
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