NCT01729988
Completed
Not Applicable
Carotid Body Removal for the Treatment of Resistant Hypertension: a Pilot Study
Noblewell1 site in 1 country11 target enrollmentNovember 2012
ConditionsHypertension
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hypertension
- Sponsor
- Noblewell
- Enrollment
- 11
- Locations
- 1
- Primary Endpoint
- Change of Blood Pressure
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
This is a pilot study to assess the effectiveness, safety and feasibility of carotid body removal in patients with high blood pressure (hypertension) resistant to medical treatment. Patients with high blood pressure are at significant risk of medical complications including stroke and heart disease. The principle research question is whether removal of the carotid body will lead to an improvement in the blood pressure of this patient group.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Resistant HTN criteria with either confirmed sleep disordered breathing. Definition of HTN:Office SBP ≥ 160 mmHg and daytime mean ABPM ≥ 140 mm Hg
- •Definition of sleep disordered breathing: SDB defined as mild to moderate obstructive, central or mixed sleep apnea defined as 5 \< AHI \< 30 with O2 desaturation not exceeding 80% during the night.
Exclusion Criteria
- •Calculated GFR \< 30
- •Carotid body located outside the defined carotid septum
- •Obstructive carotid atherosclerotic disease
- •Oxygen desaturation at rest below 92%
- •Known structural lung disease (medical interview)
- •Requirement for oxygen therapy to maintain oxygen saturation
- •Patients wish to participate in mountain climbing, skin diving or free diving
- •Pregnancy or anticipation of pregnancy
- •Palliative care/chemotherapy
- •Acute coronary syndrome or unstable angina \< 6 months prior to procedure
Outcomes
Primary Outcomes
Change of Blood Pressure
Time Frame: 3 months
Change from Baseline Blood Pressure at 3 months
Study Sites (1)
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