7.01.136 Radiofrequency Ablation of the Renal Sympathetic Nerves as a Treatment for Resistant Hypertension
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چکیده
Coding CPT 0338T Transcatheter renal sympathetic denervation, percutaneous approach including arterial puncture, selective catheter placement(s) renal artery(ies), fluoroscopy, contrast injection(s), intraprocedural roadmapping and radiological supervision and interpretation, including pressure gradient measurements, flush aortogram and diagnostic renal angiography when performed; unilateral 0339T Transcatheter renal sympathetic denervation, percutaneous approach including arterial puncture, selective catheter placement(s) renal artery(ies), fluoroscopy, contrast injection(s), intraprocedural roadmapping and radiological supervision and interpretation, including pressure gradient measurements, flush aortogram and diagnostic renal angiography when performed; bilateral
منابع مشابه
Effects of Renal Denervation on Sympathetic Activation, Blood Pressure, and Glucose Metabolism in Patients with Resistant Hypertension
Increased central sympathetic drive is a hallmark of several important clinical conditions including essential hypertension, heart failure, chronic kidney disease, and insulin resistance. Afferent signaling from the kidneys has been identified as an important contributor to elevated central sympathetic drive and increased sympathetic outflow to the kidney and other organs is crucially involved ...
متن کاملRenal nerves and CKD: is renal denervation the answer?
A role for renal nerves in the regulation of renal function has been recognized since the time of Claude Bernard. It has also been clear that renal nerves have an intimate relationship with many forms of experimental hypertension, and surgical splancnicectomy, with consequent renal denervation, was a recommended form of therapy for hypertension in humans before the introduction of effective pha...
متن کاملThe temperature field simulation of radiofrequency catheter-based renal sympathetic denervation for resistant hypertension.
Renal sympathetic denervation (RSD) by the radiofrequency ablation was used to treat the resistant hypertension in clinic and has achieved curative effect. But the temperature distribution in the artery walls and the blood flow have not been investigated. Finite element method (FEM) based on Comsol Multiphysics 4.3a software was used to simulate the temperature distribution in the renal artery....
متن کاملEfficacy and safety of catheter-based radiofrequency renal denervation in stented renal arteries.
BACKGROUND In selected patients with hypertension, renal artery (RA) stenting is used to treat significant atherosclerotic stenoses. However, blood pressure often remains uncontrolled after the procedure. Although catheter-based renal denervation (RDN) can reduce blood pressure in certain patients with resistant hypertension, there are no data on the feasibility and safety of RDN in stented RA....
متن کامل2013: The Year of Renal Denervation?
The year of 2013 in cardiology has been eventful with significant advances described in many fields including cardiac pharmacology, coronary artery intervention, percutaneous aortic valve implantation, heart failure, and electrophysiology. Perhaps one of the most rapidly expanding areas is that of renal denervation therapy (RDT) for treatment of resistant hypertension. Catheter-based radiofrequ...
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تاریخ انتشار 2016