MedPath

Comparison of renal sympathetic denervation with spironolactone in patients with still a high blood pressure despite the use of 3 different antihypertensive agents.

Recruiting
Conditions
Hypertension, Renal sympathetic denervation, Sprionolactone. Hypertensie, Renale sympathische denervatie, spironolacton
Registration Number
NL-OMON26106
Lead Sponsor
Erasmus MC: Department of Radiology
Brief Summary

M. Ezzahti, A. Moelker, A.H. van den Meiracker: Endovascular renal sympathetic denervation. A new treatment for treatment resistant hypertension? Hart Bulletin 2012;43:34-39.

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
120
Inclusion Criteria

1. Age > 18 yrs and < 75 yrs;

2. Treatment-resistent hypertension;

Exclusion Criteria

1. Secondary hypertension;

2. Renal arteries inaccessible for endovascular denervation;

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Difference in 24-hour ambulatory blood pressure between spironolactone and endovascular renal denervation 6 months after intervention.
Secondary Outcome Measures
NameTimeMethod
1. Proportion of patients with normalisation of ambulatory blood pressure in the two intervention groups;<br /><br>2. Proportion of patients per intervention group with a decrease in 24-hour ambulatory blood pressure of at least 10 mmHg systolic and and at least 5 mmHg diastolic;<br /><br>3. Predictive value of clonidin-suppression test on blood pressure response to endovascular sympathetic denervation;<br /><br>4. Cost effectiveness of renal sympathetic denervation;<br /><br>5. Difference in quality of life score between endovascular renal denervation and spironolactone group.
© Copyright 2025. All Rights Reserved by MedPath