Resistant Hypertension
Conditions
Keywords
Hypertension, Blood pressure, Renal denervation
Brief summary
The ACHIEVE study is a single-arm, open-label, prospective, post-market follow-up study to include up to one hundred (100) eligible patients as defined within the clinical investigational plan, with a twelve month follow-up period. The ACHIEVE study was originally designed in accordance with the 2007 ESH ESC guidelines for resistant hypertension.
Interventions
Intravascular ultrasound emission
Sponsors
Study design
Eligibility
Inclusion criteria
* Resistant hypertension, as defined in the 2007 ESH-ESC guidelines * 18 years of age or older * Negative pregnancy test for female patients of childbearing potential * Willing and able to comply with follow-up requirements * Signed informed consent
Exclusion criteria
* Secondary hypertension * Main renal arteries length \< 20 mm * Main renal arteries diameter \< 4 mm * Renal artery stenosis * Iliac/femoral artery stenosis precluding insertion of the catheter * Untreated allergy to contrast media * Currently participating in the study of an investigational drug or device * Moderate to severe renal insufficiency
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of patients with device- or procedure-related adverse events | 12 months | Anticipated adverse events include: * Access site and access-related vascular injury * Renal artery complications, including: stenosis, aneurysm, dissection, and perforation * Renal complications, including: renal infarction, acute kidney injury, and renal failure * Arterial and venous thromboembolic events, including: myocardial infarction, stroke or transient ischemic attack, pulmonary embolism, and deep vein thrombosis * Systemic effects, including: allergic reaction and infection |
| Change from baseline in systolic blood pressure | 12 months | Change from baseline in systolic blood pressure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes from baseline in pulse pressure and nocturnal dipping | 12 months | Changes from baseline in pulse pressure and nocturnal dipping |
| Change from baseline in anti-hypertensive medication intake | 12 months | Change from baseline in anti-hypertensive medication intake |
| Change from baseline in diastolic blood pressure | 12 months | Change from baseline in diastolic blood pressure |
Other
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in EQ-5D Quality of Life score | 12 months | Change from baseline in EQ-5D Quality of Life score |
| Change from baseline in cardiac function | 12 months | Change from baseline in cardiac function |
Countries
Germany, Netherlands, Sweden