Referring Physician
Effectively lower high blood pressure.
Effectively lower high blood pressure.
Renal denervation (uRDN) with ultrasound
Renal denervation (uRDN) with ultrasound
Recommended treatment pathway
The European Society of Cardiology (ESC)¹ and the European Society of Hypertension (ESH)² recommend renal denervation as a treatment option for hypertension.
- The first objective of antihypertensive treatment for all patients is
to reduce blood pressure to < 140/90 mmHg.1,2 - If the drug treatment is well tolerated, blood pressure values of 120-129 / 70-79 mmHg
or lower should be aimed for.1,2
Lifestyle Changes
Medications
Renal denervation with ultrasound
1 Barbato et al. Eur Heart J. Apr 17, 2023;44(15):1313-1330
2 Mancia et al. Journal of Hypertension 2023, 41:1874-2017
The three pillars for the successful treatment of high blood pressure¹
Changes in lifestyle habits
- Reduce salt intake, stop smoking, exercise regularly, eat a diet rich in fruit and vegetables, reduce alcohol consumption and maintain a normal weight
Medication
- ACE-I or ARB + CCB + diuretic (double or triple combination)
- Supplementation with spironolactone or other medication possible
Renal denervation
- Minimally invasive and safe procedure² (average duration less than one hour)
1. Mancia et al. Journal of Hypertension 2023, 41:1874–2017
2. Kirtane et al. JAMA Cardiol. 2023 May 1;8(5):464-473
3. Azizi M. JAMA. 2023;329(8):651-661
4. Azizi M. et al. Lancet. 2018 Jun 9;391(10137):2335-2345
5. Azizi M. et al. Lancet. 2021 Jun 26;397(10293):2476-2486
Paradise™ system for renal denervation with ultrasound
Lowering high blood pressure with uRDN
- Proven reduction in blood pressure in mild, moderate and resistant hypertension with or without drug therapy in several randomized, sham-controlled studies3-5
- Proven safe and sustained reduction in blood pressure measured in the practice over at least 36 months3
- “Always-on” effect regardless of time and patient behavior3-5
RADIANCE™ RCTs
Pooled analysis
of systolic practice
blood pressure
after 2 months¹
-10,4
mmHg
ACHIEVE study
systolic practice
blood pressure
after 8 years²
.
-22,1
mmHg
.
.
.
1. Kirtane et al. JAMA Cardiol. 2023;8(5):464-473
2. Zeijen et. al. ACHIEVE Study, TCT 2023
3. Azizi et al. JAMA. 2023;329(8):651-661
4. Azizi et al. Lancet. 2021;397(10293):2476-2486
5. Azizi et al. Lancet. 2018;391(10137):2335-2345
What can be achieved
Heart disease
1 Kirtane et al. JAMA Cardiol. May 1, 2023;8(5):464-473
2 Ettehad et al. Lancet. Mar 5, 2016;387(10022):957-967