Central iliac arteriovenous anastomosis for hypertension: targeting mechanical aspects of the circulation.
Curr Hypertens Rep
; 17(9): 585, 2015 Sep.
Article
en En
| MEDLINE
| ID: mdl-26228235
ABSTRACT
Raised blood pressure is the leading attributable risk factor for global morbidity and mortality. Real world data demonstrates that half of treated patients are at elevated cardiovascular risk because of inadequately controlled BP. In addition to pharmacotherapy, certain interventional strategies to reduce blood pressure and cardiovascular risk in hypertension can be considered according to international guidelines. One of the newer technologies entering this field is a proprietary arteriovenous coupler device that forms a fixed flow arteriovenous conduit in the central vasculature. In this review, we examine the development of and rationale for the creation of a central arteriovenous anastomosis in patients with hypertension and review the proposed mechanisms by which it may ameliorate hypertension. We critically review the clinical trial evidence base to date and postulate on future therapeutic directions.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Anastomosis Arteriovenosa
/
Hipertensión
Tipo de estudio:
Clinical_trials
/
Etiology_studies
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Guideline
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Risk_factors_studies
Límite:
Humans
Idioma:
En
Año:
2015
Tipo del documento:
Article