n Cardiovascular Journal of Africa - First reported cases : renal denervation with secondgeneration multi-electrode catheter via brachial and radial access : case report
|Article Title||First reported cases : renal denervation with secondgeneration multi-electrode catheter via brachial and radial access : case report|
|© Publisher:||Clinics Cardive Publishing|
|Journal||Cardiovascular Journal of Africa|
|Affiliations||1 Stellenbosch University, 2 Stellenbosch University, 3 Netcare Kuilsriver Hospital and 4 Netcare Kuilsriver Hospital|
|Publication Date||Jan 2016|
|Pages||53 - 55|
|Keyword(s)||Atrial fibrillation, Hypertension and Renal denervation|
Renal denervation is a minimally invasive procedure that aims to reduce brain-kidney sympathetic cross-talk. Despite the negative results of the recent SYMPLICITY HTN-3 trial, the procedure is considered safe and has been associated with many beneficial effects, including the reversal of hypertensive heart disease substrate and the prevention of cardiac arrhythmia. The first-generation radiofrequency catheter system featured a monopolar catheter that required sequential single-point energy application, followed by rotation, partial withdrawal of the catheter and re-application of energy. The latest generation device features four electrodes configured in a helical arrangement that can simultaneously ablate in four quadrants of the vessel circumference. Renal denervation via brachial or radial arterial access with the second-generation system has not been described before.
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