title: Renal denervation: tips and tricks to perform a technically successful procedure.
abstract: To most practitioners involved in catheter-based interventions, percutaneous renal sympathetic denervation is not technically challenging. However, under specific clinical circumstances (e.g., renal insufficiency) or when faced with more complex abdominal aortic anatomy (e.g., tortuosity) some procedural tips may come in handy. Here we review the equipment, antiplatelet and anticoagulant strategy as well as the procedural technique, including tips and tricks for the successful performance of catheter-based renal denervation. Among other topics, carbon dioxide angiography and brachial artery access are discussed.
authors.affiliation: CardioVascular Center Frankfurt, Frankfurt, Germany.
authors.forename: Stefan C
authors.initials: SC
authors.lastname: Bertog
authors.forename: Erwin
authors.initials: E
authors.lastname: Blessing
authors.forename: Laua
authors.initials: L
authors.lastname: Vaskelyte
authors.forename: Ilona
authors.initials: I
authors.lastname: Hofmann
authors.forename: Dani
authors.initials: D
authors.lastname: Id
authors.forename: Horst
authors.initials: H
authors.lastname: Sievert
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging; D001027:Aortography / Q000379:methods; D001916:Brachial Artery / Q000000981:diagnostic imaging; D017115:Catheter Ablation / Q000009:adverse effects / Q000295:instrumentation; D003287:Contrast Media; D004867:Equipment Design; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging; D007668:Kidney / Q000098:blood supply* / Q000294:innervation*; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D011237:Predictive Value of Tests; D012077:Renal Artery / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000473:pathology; D013562:Sympathectomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D013564:Sympathetic Nervous System / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome; D062666:Vascular Access Devices
chemical_list: D000925:Anticoagulants; D003287:Contrast Media; D010975:Platelet Aggregation Inhibitors