Workshop on Building a Renal Denervation Program-Case Presentation, Dr. Ajay Kirtane

Video Transcription

Video Summary

The video presentation covers the procedural strategy for ultrasound renal denervation using the ReCore Paradise system, a balloon-based device approved in the U.S. The device uses ultrasound heating with a cooling balloon to circumferentially ablate renal nerves, aiming to reduce norepinephrine signaling and blood pressure. The procedure involves centralizing the balloon in the renal artery to ensure consistent ablation while protecting the artery wall. Operators perform two to three sonications lasting seven seconds on each renal artery, with procedural guidance provided through imaging and wire techniques. The presenter highlights the importance of careful planning, patient sedation, and safety considerations, such as avoiding stenosis by steering clear of plaque in the arteries. The presenter also emphasizes the value of cross-sectional imaging, such as CT, in understanding renal architecture and optimizing procedural outcomes. Overall, the presentation underscores the necessity of sound procedural techniques and patient management in achieving successful denervation outcomes.

Keywords

ultrasound renal denervation

ReCore Paradise system

balloon-based device

norepinephrine signaling

cross-sectional imaging

procedural techniques