Effect of Renal Denervation on Bood Pressure in Patients on Hemodialysis

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-99
SponsorUniversity of Erlangen-Nürnberg Medical School

About this trial

The RDN-HD Study is a prospective, single-center feasibility study. All patients included will undergo endovascular ultrasound-based RDN (no sham group, no blinding). The purpose of the RDN-HD Study is to demonstrate that ultrasound-based RDN is safe in patients with TRH and ESRD hemodialysis and reduces 24-h ambulatory BP.

Eligibility criteria

Qualifiers

Uncontrolled treatment resistant hypertension (despite intake of 3 different classes of antihypertensive medications) confirmed by 24-h ambulatory blood pressure according to current guidelines (ESH 2023) (office blood pressure ≥ 140/ and/ or ≥ 90 mmHg and ambulatory blood pressure ≥ 130/ and/or ≥ 80 mmHg

end-stage renal disease on chronic hemodialysis

Stable hemodialysis regime for at least 3 months based on the decision of the treating physician

Patient is adhering to a stable drug regimen without changes for a minimum of 4 weeks.

Disqualifiers

Episodes of sustained systolic and/or diastolic hypotension according to 24-h ambulatory blood pressure or dialysis protocols which in the eyes of the treating physician would interfere with a safe renal denervation treatment of the patient

Known hemodynamically or anatomically significant renal artery abnormality or stenosis in either renal artery which in the eyes of the interventionalist would interfere with safe catheter placement

Prior renal denervation procedure

Anatomic or functional solitary kidney, kidney transplantation

Trial design

Treatments tested in this trial

  • renal denervation

Treatment groups

12 Participants
are divided into 1 treatment group