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Case Reports
. 2025 Mar;105(4):878-882.
doi: 10.1002/ccd.31406. Epub 2025 Jan 8.

cHild -in-mothEr Approach for DeliverING Renal Denervation System: The HEADING-IN Technique

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Case Reports

cHild -in-mothEr Approach for DeliverING Renal Denervation System: The HEADING-IN Technique

Orazio Viola et al. Catheter Cardiovasc Interv. 2025 Mar.

Abstract

Renal denervation is an emerging strategy for the management of uncontrolled hypertension. However, real-world experience is still modest, in particular for the management of complex anatomy, with available data being limited to the selected population of randomized clinical trials. We first describe the feasibility of delivering the renal denervation system to the target site with a child-in-mother technique, using a common coronary guiding extension, in a patient with severe tortuosity and double renal arteries.

Keywords: ABC—ablation; HTN—hypertension; RADI—renal artery disease; catheter/cryoblation/RF; intervention.

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References

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    1. E. Barbato, M. Azizi, R. E. Schmieder, et al., “Renal Denervation in the Management of Hypertension in Adults. A Clinical Consensus Statement of the ESC Council on Hypertension and the European Association of Percutaneous Cardiovascular Interventions (EAPCI),” European Heart Journal 44, no. 15 (April 2023): 1313–1330, https://doi.org/10.1093/eurheartj/ehad054.
    1. F. Mahfoud, D. E. Kandzari, K. Kario, et al., “Long‐Term Efficacy and Safety of Renal Denervation in the Presence of Antihypertensive Drugs (Spyral Htn‐On Med): A Randomised, Sham‐Controlled Trial,” Lancet 399, no. 10333 (April 2022): 1401–1410.
    1. P. Coates, S. Tunev, J. Trudel, and D. A. Hettrick, “Time, Temperature, Power, and Impedance Considerations for Radiofrequency Catheter Renal Denervation,” Cardiovascular Revascularization Medicine 42 (2022): 171–177.

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