Percutaneous Renal Sympathetic Denervation: 2013 and Beyond

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Percutaneous Renal Sympathetic Denervation: 2013 and Beyond Michael Froeschl, MD, MSc, Adnan Hadziomerovic, MD, Marcel Ruzicka, MD, PhD Canadian Journal of Cardiology Volume 30, Issue 1, Pages 64-74 (January 2014) DOI: 10.1016/j.cjca.2013.11.003 Copyright © 2014 Canadian Cardiovascular Society Terms and Conditions

Figure 1 The kidneys' place within the sympathetic nervous system and the end-organ effects of sympathetic activation. ATII, angiotensin-II. Canadian Journal of Cardiology 2014 30, 64-74DOI: (10.1016/j.cjca.2013.11.003) Copyright © 2014 Canadian Cardiovascular Society Terms and Conditions

Figure 2 The Symplicity Renal Denervation System catheter. Reproduced with permission from Medtronic Inc. Canadian Journal of Cardiology 2014 30, 64-74DOI: (10.1016/j.cjca.2013.11.003) Copyright © 2014 Canadian Cardiovascular Society Terms and Conditions

Figure 3 Still frame of a percutaneous renal sympathetic denervation procedure. The ablation catheter is flexed so that the radio-opaque electrode (arrow) is apposed against the inferior wall of the renal artery. More distally, an indentation into the lumen of the artery is seen at the site of a previous ablation (arrowhead). This is a typical finding after ablation and represents tissue edema. Canadian Journal of Cardiology 2014 30, 64-74DOI: (10.1016/j.cjca.2013.11.003) Copyright © 2014 Canadian Cardiovascular Society Terms and Conditions

Figure 4 The EnligHTN Renal Denervation System catheter. Reproduced with permission from St Jude Medical, Inc. Canadian Journal of Cardiology 2014 30, 64-74DOI: (10.1016/j.cjca.2013.11.003) Copyright © 2014 Canadian Cardiovascular Society Terms and Conditions