Table 1

Key characteristics of trials included

Author (year) JournalTrialConditionIntervention (active vs. placebo)Number of patients randomized (active/placebo)Primary outcome
Definition (follow-up)Statistical superiority of active treatment over placebo
  • Raizner et al. (2000)13

  • Circulation

PREVENTDe novo/restenotic lesionsPTCA/stenting and intracoronary radiation vs. PTCA/stenting only80/25Incidence of MACE between baseline and 12 monthsNo
  • Stone et al. (2002)14

  • J Am Coll Cardiol

Refractory angina (unsuccessful percutaneous coronary intervention)PMLR vs. coronary catheterization71/70Change in exercise duration at 6 monthsNo
  • Connolly et al. (2003)15

  • JAMA

VPS-IIVasovagal syncopeDual-chamber pacing (DDD) with rate-drop response vs. sensing only (ODO)48/52Time to first recurrence of syncopeNo
  • Raviele et al. (2004)16

  • Eur Heart J

SYNPACEVasovagal syncopeDual-chamber pacemaker turned on (DDD) with rate-drop response vs. pacemaker not turned on (OOO)16/13Recurrence of syncopeNo
Time to first recurrence of syncopeNo
  • Serruys et al. (2004)17

  • Int J Cardiovasc Intervent

EUROSPAHStable/unstable angina or silent ischaemiaIntravascular ultrasound after stenting vs. stenting only202/201In-stent late lumen loss at 6 monthsNo
  • Salem et al. (2004)18

  • Am J Cardiol

BELIEFStable anginaPMLR vs. laser turned on, but no procedure40/42Improvement of ≥1 CCS angina classes at 12 monthsYes
  • Leon et al. (2005)19

  • J Am Coll Cardiol

DIRECTRefractory anginaPMLR vs. laser turned on, but no procedure98/102Change in exercise duration at 6 monthsNo
  • Geiger et al. (2006)20

  • Strahlenther Onkol

EVERESTCoronary artery diseasePTCA/BMS and intracoronary radiation vs. PTCA/BMS21/11Composite clinical outcomea at 16 monthsNo
  • Syeda et al. (2006)21

  • Radiother Oncol

REGARDCoronary artery disease in diabetic patientsPTCA/stenting and intracoronary radiation vs. PCTA/stenting45/44Incidence of thrombosis/MACE at 9 monthsNo
Late lumen loss at 9 monthsYes
Restenosis >50% at 9 monthsYes
  • Reynen et al. (2006)22

  • Coron Artery Dis

Coronary in-stent restenosisPTCA and intracoronary radiation vs. PTCA78/78Diameter of stenosis at 6 monthsNo
Re-restenosis rate at 6 monthsYes
  • Misra et al. (2006)23

  • Kidney Int

BRAVO IDysfunctional dialysis access graftPTA and endovascular radiation vs. PTA only14/11Angiographic target lesion primary patency at 6 monthsYes
  • Dowson et al. (2008)24

  • Circulation

MISTPFO and migraine with auraPercutaneous PFO occlusion vs. skin incision74/73Cessation of migraine headache 3 through 6 months after randomizationNo
  • Parry et al. (2008)25

  • Heart

Falls attributed to carotid sinus hypersensitivityDual-chamber pacing (DDD) with rate-drop response vs. sensing only (ODO)34 (crossover)Number of falls at 6 monthsNo
  • Bisognano et al. (2011)26

  • J Am Coll Cardiol

Rheos Pivotal TrialResistant hypertensionBAT device implantation and turned on vs. BAT device not turned on181/84Composite efficacy outcomebNo
  • Brignole et al. (2012)27

  • Circulation

ISSUE-3Neurally mediated syncopeDual-chamber pacing (DDD) with rate-drop response vs. sensing only (ODO)38/39Recurrence of syncope between baseline and 24 monthsYes
  • Bhatt et al. (2014)28

  • N Engl J Med

SYMPLICITY HTN-3Resistant hypertensionCatheter-based RDN (monoelectrode radiofrequency catheter) vs. renal angiography only364/171Change in office SBP at 6 monthsNo
  • Zannad et al. (2015)29

  • Eur Heart J

NECTAR-HFHFrEFImplantation and vagal nerve stimulator system turned on vs. implantation only59/28Change in left ventricular systolic diameter at 6 monthsNo
  • Verheye et al. (2015)30

  • N Engl J Med

COSIRARefractory anginaCoronary sinus reducer vs. coronary angiography52/52Improvement of ≥2 CCS angina classes at 6 monthsYes
  • Desch et al. (2015)31

  • Hypertension

Leipzig RSDResistant hypertensionCatheter-based RDN (monoelectrode radiofrequency catheter) vs. renal angiography only32/35Change in 24 h-ambulatory SBP at 6 monthsNo
  • Mathiassen et al. (2016)32

  • J Hypertens

ReSETResistant hypertensionCatheter-based RDN (monoelectrode radiofrequency catheter) vs. catheter in situ and radiograph scan36/33Change in ambulatory daytime SBP at 3 monthsNo
  • Beige et al. (2017)33

  • J Hypertens

Resistant hypertensionBAT device turned on vs. BAT device turned off17 (crossover)Intraindividual increase in office SBP ≥35 mmHg while BAT device turned offNo
  • Al-Lamee et al. (2018)34

  • Lancet

ORBITASymptomatic angiographically significant (≥70%) non-occluded lesion in a single vesselPTCA/DES vs. coronary angiography105/91Change in exercise duration at 6 weeksNo
  • Tobis et al. (2017)35

  • J Am Coll Cardiol

PREMIUM MigrainePFO and migraine with/without auraPercutaneous PFO closure vs. right heart catheterization123/10750% reduction of monthly number of migraine attacks during months 10 through 12 compared with baselineNo
  • Baron-Esquivias et al. (2017)36

  • J Am Coll Cardiol

SPAINVasovagal syncopeDual-chamber pacing (DDD) with CLS vs. placebo pacing (DDI)46 (crossover)Reduction of syncopal episodes ≥50% at 12 monthsYes
Time to first recurrence of syncopeYes
  • Feldman et al. (2018)37

  • Circulation

REDUCE-LAP HF IHFpEF (EF ≥40%) and elevated left atrial pressureTranscatheter interatrial shunt device vs. intracardiac echocardiography22/22Difference in exercise PCWP at 1 monthYes
  • Kandzari et al. (2018)38

  • Lancet

SPYRAL HTN-ON MEDMild-to-moderate hypertensionCatheter-based RDN (multi-electrode radiofrequency catheter) vs. renal angiography only38/42Change in 24 h-ambulatory blood pressure at 6 monthsYes
  • Azizi et al. (2018)39

  • Lancet

RADIANCE HTN SOLOMild-to-moderate uncontrolled or controlled (≤2 drugs) hypertensionCatheter-based RDN (ultrasound-based catheter) vs. renal angiography only74/72Change in daytime SBP at 2 monthsYes
  • Witte et al. (2019)40

  • JACC Heart Fail

REDUCE FMRFunctional mitral regurgitationCatheter-based mitral annuloplasty vs. coronary sinus angiography only87/33Change in mitral regurgitant volume at 12 monthsYes
  • Weber et al. (2020)41

  • JACC Cardiovasc Interv

REDUCE HTN: REINFORCEMild-to-moderate hypertension in the absence of antihypertensive medicationCatheter-based RDN (bipolar radiofrequency catheter) vs. renal angiography only34/17Change in 24 h-ambulatory blood pressure at 2 monthsNo
  • Böhm et al. (2020)42

  • Lancet

SPYRAL HTN-OFF MED Pivotal (including pilot phase)Mild-to-moderate hypertension in the absence of antihypertensive medicationCatheter-based RDN (multi-electrode radiofrequency catheter) vs. renal angiography only166/165Change in 24 h-ambulatory blood pressure at 3 monthsYes
Author (year) JournalTrialConditionIntervention (active vs. placebo)Number of patients randomized (active/placebo)Primary outcome
Definition (follow-up)Statistical superiority of active treatment over placebo
  • Raizner et al. (2000)13

  • Circulation

PREVENTDe novo/restenotic lesionsPTCA/stenting and intracoronary radiation vs. PTCA/stenting only80/25Incidence of MACE between baseline and 12 monthsNo
  • Stone et al. (2002)14

  • J Am Coll Cardiol

Refractory angina (unsuccessful percutaneous coronary intervention)PMLR vs. coronary catheterization71/70Change in exercise duration at 6 monthsNo
  • Connolly et al. (2003)15

  • JAMA

VPS-IIVasovagal syncopeDual-chamber pacing (DDD) with rate-drop response vs. sensing only (ODO)48/52Time to first recurrence of syncopeNo
  • Raviele et al. (2004)16

  • Eur Heart J

SYNPACEVasovagal syncopeDual-chamber pacemaker turned on (DDD) with rate-drop response vs. pacemaker not turned on (OOO)16/13Recurrence of syncopeNo
Time to first recurrence of syncopeNo
  • Serruys et al. (2004)17

  • Int J Cardiovasc Intervent

EUROSPAHStable/unstable angina or silent ischaemiaIntravascular ultrasound after stenting vs. stenting only202/201In-stent late lumen loss at 6 monthsNo
  • Salem et al. (2004)18

  • Am J Cardiol

BELIEFStable anginaPMLR vs. laser turned on, but no procedure40/42Improvement of ≥1 CCS angina classes at 12 monthsYes
  • Leon et al. (2005)19

  • J Am Coll Cardiol

DIRECTRefractory anginaPMLR vs. laser turned on, but no procedure98/102Change in exercise duration at 6 monthsNo
  • Geiger et al. (2006)20

  • Strahlenther Onkol

EVERESTCoronary artery diseasePTCA/BMS and intracoronary radiation vs. PTCA/BMS21/11Composite clinical outcomea at 16 monthsNo
  • Syeda et al. (2006)21

  • Radiother Oncol

REGARDCoronary artery disease in diabetic patientsPTCA/stenting and intracoronary radiation vs. PCTA/stenting45/44Incidence of thrombosis/MACE at 9 monthsNo
Late lumen loss at 9 monthsYes
Restenosis >50% at 9 monthsYes
  • Reynen et al. (2006)22

  • Coron Artery Dis

Coronary in-stent restenosisPTCA and intracoronary radiation vs. PTCA78/78Diameter of stenosis at 6 monthsNo
Re-restenosis rate at 6 monthsYes
  • Misra et al. (2006)23

  • Kidney Int

BRAVO IDysfunctional dialysis access graftPTA and endovascular radiation vs. PTA only14/11Angiographic target lesion primary patency at 6 monthsYes
  • Dowson et al. (2008)24

  • Circulation

MISTPFO and migraine with auraPercutaneous PFO occlusion vs. skin incision74/73Cessation of migraine headache 3 through 6 months after randomizationNo
  • Parry et al. (2008)25

  • Heart

Falls attributed to carotid sinus hypersensitivityDual-chamber pacing (DDD) with rate-drop response vs. sensing only (ODO)34 (crossover)Number of falls at 6 monthsNo
  • Bisognano et al. (2011)26

  • J Am Coll Cardiol

Rheos Pivotal TrialResistant hypertensionBAT device implantation and turned on vs. BAT device not turned on181/84Composite efficacy outcomebNo
  • Brignole et al. (2012)27

  • Circulation

ISSUE-3Neurally mediated syncopeDual-chamber pacing (DDD) with rate-drop response vs. sensing only (ODO)38/39Recurrence of syncope between baseline and 24 monthsYes
  • Bhatt et al. (2014)28

  • N Engl J Med

SYMPLICITY HTN-3Resistant hypertensionCatheter-based RDN (monoelectrode radiofrequency catheter) vs. renal angiography only364/171Change in office SBP at 6 monthsNo
  • Zannad et al. (2015)29

  • Eur Heart J

NECTAR-HFHFrEFImplantation and vagal nerve stimulator system turned on vs. implantation only59/28Change in left ventricular systolic diameter at 6 monthsNo
  • Verheye et al. (2015)30

  • N Engl J Med

COSIRARefractory anginaCoronary sinus reducer vs. coronary angiography52/52Improvement of ≥2 CCS angina classes at 6 monthsYes
  • Desch et al. (2015)31

  • Hypertension

Leipzig RSDResistant hypertensionCatheter-based RDN (monoelectrode radiofrequency catheter) vs. renal angiography only32/35Change in 24 h-ambulatory SBP at 6 monthsNo
  • Mathiassen et al. (2016)32

  • J Hypertens

ReSETResistant hypertensionCatheter-based RDN (monoelectrode radiofrequency catheter) vs. catheter in situ and radiograph scan36/33Change in ambulatory daytime SBP at 3 monthsNo
  • Beige et al. (2017)33

  • J Hypertens

Resistant hypertensionBAT device turned on vs. BAT device turned off17 (crossover)Intraindividual increase in office SBP ≥35 mmHg while BAT device turned offNo
  • Al-Lamee et al. (2018)34

  • Lancet

ORBITASymptomatic angiographically significant (≥70%) non-occluded lesion in a single vesselPTCA/DES vs. coronary angiography105/91Change in exercise duration at 6 weeksNo
  • Tobis et al. (2017)35

  • J Am Coll Cardiol

PREMIUM MigrainePFO and migraine with/without auraPercutaneous PFO closure vs. right heart catheterization123/10750% reduction of monthly number of migraine attacks during months 10 through 12 compared with baselineNo
  • Baron-Esquivias et al. (2017)36

  • J Am Coll Cardiol

SPAINVasovagal syncopeDual-chamber pacing (DDD) with CLS vs. placebo pacing (DDI)46 (crossover)Reduction of syncopal episodes ≥50% at 12 monthsYes
Time to first recurrence of syncopeYes
  • Feldman et al. (2018)37

  • Circulation

REDUCE-LAP HF IHFpEF (EF ≥40%) and elevated left atrial pressureTranscatheter interatrial shunt device vs. intracardiac echocardiography22/22Difference in exercise PCWP at 1 monthYes
  • Kandzari et al. (2018)38

  • Lancet

SPYRAL HTN-ON MEDMild-to-moderate hypertensionCatheter-based RDN (multi-electrode radiofrequency catheter) vs. renal angiography only38/42Change in 24 h-ambulatory blood pressure at 6 monthsYes
  • Azizi et al. (2018)39

  • Lancet

RADIANCE HTN SOLOMild-to-moderate uncontrolled or controlled (≤2 drugs) hypertensionCatheter-based RDN (ultrasound-based catheter) vs. renal angiography only74/72Change in daytime SBP at 2 monthsYes
  • Witte et al. (2019)40

  • JACC Heart Fail

REDUCE FMRFunctional mitral regurgitationCatheter-based mitral annuloplasty vs. coronary sinus angiography only87/33Change in mitral regurgitant volume at 12 monthsYes
  • Weber et al. (2020)41

  • JACC Cardiovasc Interv

REDUCE HTN: REINFORCEMild-to-moderate hypertension in the absence of antihypertensive medicationCatheter-based RDN (bipolar radiofrequency catheter) vs. renal angiography only34/17Change in 24 h-ambulatory blood pressure at 2 monthsNo
  • Böhm et al. (2020)42

  • Lancet

SPYRAL HTN-OFF MED Pivotal (including pilot phase)Mild-to-moderate hypertension in the absence of antihypertensive medicationCatheter-based RDN (multi-electrode radiofrequency catheter) vs. renal angiography only166/165Change in 24 h-ambulatory blood pressure at 3 monthsYes

BAT, baroreceptor activation therapy; BMS, bare metal stent; CCS, Canadian Cardiovascular Society; CLS, closed-loop-stimulation; DES, drug-eluting stent; EF, ejection fraction; HFpEF/HFrEF, heart failure with preserved/reduced ejection fraction; MACE, major adverse cardiovascular events; PCWP, pulmonary capillary pressure; PFO, patent foramen oval; PMLR, percutaneous myocardial laser revascularization; PTA, percutaneous transluminal angioplasty; PTCA, percutaneous transluminal coronary angioplasty; RDN, renal denervation; SBP, systolic blood pressure.

a

Composite of death, myocardial infarction, repeat target lesion or percutaneous revascularization, and coronary artery bypass surgery.

b

Composite of (i) blood pressure responder rate at 6 months, (ii) sustained blood pressure-lowering response at 12 months, (iii) procedure, (iv) BAT, and (v) device safety.

Table 1

Key characteristics of trials included

Author (year) JournalTrialConditionIntervention (active vs. placebo)Number of patients randomized (active/placebo)Primary outcome
Definition (follow-up)Statistical superiority of active treatment over placebo
  • Raizner et al. (2000)13

  • Circulation

PREVENTDe novo/restenotic lesionsPTCA/stenting and intracoronary radiation vs. PTCA/stenting only80/25Incidence of MACE between baseline and 12 monthsNo
  • Stone et al. (2002)14

  • J Am Coll Cardiol

Refractory angina (unsuccessful percutaneous coronary intervention)PMLR vs. coronary catheterization71/70Change in exercise duration at 6 monthsNo
  • Connolly et al. (2003)15

  • JAMA

VPS-IIVasovagal syncopeDual-chamber pacing (DDD) with rate-drop response vs. sensing only (ODO)48/52Time to first recurrence of syncopeNo
  • Raviele et al. (2004)16

  • Eur Heart J

SYNPACEVasovagal syncopeDual-chamber pacemaker turned on (DDD) with rate-drop response vs. pacemaker not turned on (OOO)16/13Recurrence of syncopeNo
Time to first recurrence of syncopeNo
  • Serruys et al. (2004)17

  • Int J Cardiovasc Intervent

EUROSPAHStable/unstable angina or silent ischaemiaIntravascular ultrasound after stenting vs. stenting only202/201In-stent late lumen loss at 6 monthsNo
  • Salem et al. (2004)18

  • Am J Cardiol

BELIEFStable anginaPMLR vs. laser turned on, but no procedure40/42Improvement of ≥1 CCS angina classes at 12 monthsYes
  • Leon et al. (2005)19

  • J Am Coll Cardiol

DIRECTRefractory anginaPMLR vs. laser turned on, but no procedure98/102Change in exercise duration at 6 monthsNo
  • Geiger et al. (2006)20

  • Strahlenther Onkol

EVERESTCoronary artery diseasePTCA/BMS and intracoronary radiation vs. PTCA/BMS21/11Composite clinical outcomea at 16 monthsNo
  • Syeda et al. (2006)21

  • Radiother Oncol

REGARDCoronary artery disease in diabetic patientsPTCA/stenting and intracoronary radiation vs. PCTA/stenting45/44Incidence of thrombosis/MACE at 9 monthsNo
Late lumen loss at 9 monthsYes
Restenosis >50% at 9 monthsYes
  • Reynen et al. (2006)22

  • Coron Artery Dis

Coronary in-stent restenosisPTCA and intracoronary radiation vs. PTCA78/78Diameter of stenosis at 6 monthsNo
Re-restenosis rate at 6 monthsYes
  • Misra et al. (2006)23

  • Kidney Int

BRAVO IDysfunctional dialysis access graftPTA and endovascular radiation vs. PTA only14/11Angiographic target lesion primary patency at 6 monthsYes
  • Dowson et al. (2008)24

  • Circulation

MISTPFO and migraine with auraPercutaneous PFO occlusion vs. skin incision74/73Cessation of migraine headache 3 through 6 months after randomizationNo
  • Parry et al. (2008)25

  • Heart

Falls attributed to carotid sinus hypersensitivityDual-chamber pacing (DDD) with rate-drop response vs. sensing only (ODO)34 (crossover)Number of falls at 6 monthsNo
  • Bisognano et al. (2011)26

  • J Am Coll Cardiol

Rheos Pivotal TrialResistant hypertensionBAT device implantation and turned on vs. BAT device not turned on181/84Composite efficacy outcomebNo
  • Brignole et al. (2012)27

  • Circulation

ISSUE-3Neurally mediated syncopeDual-chamber pacing (DDD) with rate-drop response vs. sensing only (ODO)38/39Recurrence of syncope between baseline and 24 monthsYes
  • Bhatt et al. (2014)28

  • N Engl J Med

SYMPLICITY HTN-3Resistant hypertensionCatheter-based RDN (monoelectrode radiofrequency catheter) vs. renal angiography only364/171Change in office SBP at 6 monthsNo
  • Zannad et al. (2015)29

  • Eur Heart J

NECTAR-HFHFrEFImplantation and vagal nerve stimulator system turned on vs. implantation only59/28Change in left ventricular systolic diameter at 6 monthsNo
  • Verheye et al. (2015)30

  • N Engl J Med

COSIRARefractory anginaCoronary sinus reducer vs. coronary angiography52/52Improvement of ≥2 CCS angina classes at 6 monthsYes
  • Desch et al. (2015)31

  • Hypertension

Leipzig RSDResistant hypertensionCatheter-based RDN (monoelectrode radiofrequency catheter) vs. renal angiography only32/35Change in 24 h-ambulatory SBP at 6 monthsNo
  • Mathiassen et al. (2016)32

  • J Hypertens

ReSETResistant hypertensionCatheter-based RDN (monoelectrode radiofrequency catheter) vs. catheter in situ and radiograph scan36/33Change in ambulatory daytime SBP at 3 monthsNo
  • Beige et al. (2017)33

  • J Hypertens

Resistant hypertensionBAT device turned on vs. BAT device turned off17 (crossover)Intraindividual increase in office SBP ≥35 mmHg while BAT device turned offNo
  • Al-Lamee et al. (2018)34

  • Lancet

ORBITASymptomatic angiographically significant (≥70%) non-occluded lesion in a single vesselPTCA/DES vs. coronary angiography105/91Change in exercise duration at 6 weeksNo
  • Tobis et al. (2017)35

  • J Am Coll Cardiol

PREMIUM MigrainePFO and migraine with/without auraPercutaneous PFO closure vs. right heart catheterization123/10750% reduction of monthly number of migraine attacks during months 10 through 12 compared with baselineNo
  • Baron-Esquivias et al. (2017)36

  • J Am Coll Cardiol

SPAINVasovagal syncopeDual-chamber pacing (DDD) with CLS vs. placebo pacing (DDI)46 (crossover)Reduction of syncopal episodes ≥50% at 12 monthsYes
Time to first recurrence of syncopeYes
  • Feldman et al. (2018)37

  • Circulation

REDUCE-LAP HF IHFpEF (EF ≥40%) and elevated left atrial pressureTranscatheter interatrial shunt device vs. intracardiac echocardiography22/22Difference in exercise PCWP at 1 monthYes
  • Kandzari et al. (2018)38

  • Lancet

SPYRAL HTN-ON MEDMild-to-moderate hypertensionCatheter-based RDN (multi-electrode radiofrequency catheter) vs. renal angiography only38/42Change in 24 h-ambulatory blood pressure at 6 monthsYes
  • Azizi et al. (2018)39

  • Lancet

RADIANCE HTN SOLOMild-to-moderate uncontrolled or controlled (≤2 drugs) hypertensionCatheter-based RDN (ultrasound-based catheter) vs. renal angiography only74/72Change in daytime SBP at 2 monthsYes
  • Witte et al. (2019)40

  • JACC Heart Fail

REDUCE FMRFunctional mitral regurgitationCatheter-based mitral annuloplasty vs. coronary sinus angiography only87/33Change in mitral regurgitant volume at 12 monthsYes
  • Weber et al. (2020)41

  • JACC Cardiovasc Interv

REDUCE HTN: REINFORCEMild-to-moderate hypertension in the absence of antihypertensive medicationCatheter-based RDN (bipolar radiofrequency catheter) vs. renal angiography only34/17Change in 24 h-ambulatory blood pressure at 2 monthsNo
  • Böhm et al. (2020)42

  • Lancet

SPYRAL HTN-OFF MED Pivotal (including pilot phase)Mild-to-moderate hypertension in the absence of antihypertensive medicationCatheter-based RDN (multi-electrode radiofrequency catheter) vs. renal angiography only166/165Change in 24 h-ambulatory blood pressure at 3 monthsYes
Author (year) JournalTrialConditionIntervention (active vs. placebo)Number of patients randomized (active/placebo)Primary outcome
Definition (follow-up)Statistical superiority of active treatment over placebo
  • Raizner et al. (2000)13

  • Circulation

PREVENTDe novo/restenotic lesionsPTCA/stenting and intracoronary radiation vs. PTCA/stenting only80/25Incidence of MACE between baseline and 12 monthsNo
  • Stone et al. (2002)14

  • J Am Coll Cardiol

Refractory angina (unsuccessful percutaneous coronary intervention)PMLR vs. coronary catheterization71/70Change in exercise duration at 6 monthsNo
  • Connolly et al. (2003)15

  • JAMA

VPS-IIVasovagal syncopeDual-chamber pacing (DDD) with rate-drop response vs. sensing only (ODO)48/52Time to first recurrence of syncopeNo
  • Raviele et al. (2004)16

  • Eur Heart J

SYNPACEVasovagal syncopeDual-chamber pacemaker turned on (DDD) with rate-drop response vs. pacemaker not turned on (OOO)16/13Recurrence of syncopeNo
Time to first recurrence of syncopeNo
  • Serruys et al. (2004)17

  • Int J Cardiovasc Intervent

EUROSPAHStable/unstable angina or silent ischaemiaIntravascular ultrasound after stenting vs. stenting only202/201In-stent late lumen loss at 6 monthsNo
  • Salem et al. (2004)18

  • Am J Cardiol

BELIEFStable anginaPMLR vs. laser turned on, but no procedure40/42Improvement of ≥1 CCS angina classes at 12 monthsYes
  • Leon et al. (2005)19

  • J Am Coll Cardiol

DIRECTRefractory anginaPMLR vs. laser turned on, but no procedure98/102Change in exercise duration at 6 monthsNo
  • Geiger et al. (2006)20

  • Strahlenther Onkol

EVERESTCoronary artery diseasePTCA/BMS and intracoronary radiation vs. PTCA/BMS21/11Composite clinical outcomea at 16 monthsNo
  • Syeda et al. (2006)21

  • Radiother Oncol

REGARDCoronary artery disease in diabetic patientsPTCA/stenting and intracoronary radiation vs. PCTA/stenting45/44Incidence of thrombosis/MACE at 9 monthsNo
Late lumen loss at 9 monthsYes
Restenosis >50% at 9 monthsYes
  • Reynen et al. (2006)22

  • Coron Artery Dis

Coronary in-stent restenosisPTCA and intracoronary radiation vs. PTCA78/78Diameter of stenosis at 6 monthsNo
Re-restenosis rate at 6 monthsYes
  • Misra et al. (2006)23

  • Kidney Int

BRAVO IDysfunctional dialysis access graftPTA and endovascular radiation vs. PTA only14/11Angiographic target lesion primary patency at 6 monthsYes
  • Dowson et al. (2008)24

  • Circulation

MISTPFO and migraine with auraPercutaneous PFO occlusion vs. skin incision74/73Cessation of migraine headache 3 through 6 months after randomizationNo
  • Parry et al. (2008)25

  • Heart

Falls attributed to carotid sinus hypersensitivityDual-chamber pacing (DDD) with rate-drop response vs. sensing only (ODO)34 (crossover)Number of falls at 6 monthsNo
  • Bisognano et al. (2011)26

  • J Am Coll Cardiol

Rheos Pivotal TrialResistant hypertensionBAT device implantation and turned on vs. BAT device not turned on181/84Composite efficacy outcomebNo
  • Brignole et al. (2012)27

  • Circulation

ISSUE-3Neurally mediated syncopeDual-chamber pacing (DDD) with rate-drop response vs. sensing only (ODO)38/39Recurrence of syncope between baseline and 24 monthsYes
  • Bhatt et al. (2014)28

  • N Engl J Med

SYMPLICITY HTN-3Resistant hypertensionCatheter-based RDN (monoelectrode radiofrequency catheter) vs. renal angiography only364/171Change in office SBP at 6 monthsNo
  • Zannad et al. (2015)29

  • Eur Heart J

NECTAR-HFHFrEFImplantation and vagal nerve stimulator system turned on vs. implantation only59/28Change in left ventricular systolic diameter at 6 monthsNo
  • Verheye et al. (2015)30

  • N Engl J Med

COSIRARefractory anginaCoronary sinus reducer vs. coronary angiography52/52Improvement of ≥2 CCS angina classes at 6 monthsYes
  • Desch et al. (2015)31

  • Hypertension

Leipzig RSDResistant hypertensionCatheter-based RDN (monoelectrode radiofrequency catheter) vs. renal angiography only32/35Change in 24 h-ambulatory SBP at 6 monthsNo
  • Mathiassen et al. (2016)32

  • J Hypertens

ReSETResistant hypertensionCatheter-based RDN (monoelectrode radiofrequency catheter) vs. catheter in situ and radiograph scan36/33Change in ambulatory daytime SBP at 3 monthsNo
  • Beige et al. (2017)33

  • J Hypertens

Resistant hypertensionBAT device turned on vs. BAT device turned off17 (crossover)Intraindividual increase in office SBP ≥35 mmHg while BAT device turned offNo
  • Al-Lamee et al. (2018)34

  • Lancet

ORBITASymptomatic angiographically significant (≥70%) non-occluded lesion in a single vesselPTCA/DES vs. coronary angiography105/91Change in exercise duration at 6 weeksNo
  • Tobis et al. (2017)35

  • J Am Coll Cardiol

PREMIUM MigrainePFO and migraine with/without auraPercutaneous PFO closure vs. right heart catheterization123/10750% reduction of monthly number of migraine attacks during months 10 through 12 compared with baselineNo
  • Baron-Esquivias et al. (2017)36

  • J Am Coll Cardiol

SPAINVasovagal syncopeDual-chamber pacing (DDD) with CLS vs. placebo pacing (DDI)46 (crossover)Reduction of syncopal episodes ≥50% at 12 monthsYes
Time to first recurrence of syncopeYes
  • Feldman et al. (2018)37

  • Circulation

REDUCE-LAP HF IHFpEF (EF ≥40%) and elevated left atrial pressureTranscatheter interatrial shunt device vs. intracardiac echocardiography22/22Difference in exercise PCWP at 1 monthYes
  • Kandzari et al. (2018)38

  • Lancet

SPYRAL HTN-ON MEDMild-to-moderate hypertensionCatheter-based RDN (multi-electrode radiofrequency catheter) vs. renal angiography only38/42Change in 24 h-ambulatory blood pressure at 6 monthsYes
  • Azizi et al. (2018)39

  • Lancet

RADIANCE HTN SOLOMild-to-moderate uncontrolled or controlled (≤2 drugs) hypertensionCatheter-based RDN (ultrasound-based catheter) vs. renal angiography only74/72Change in daytime SBP at 2 monthsYes
  • Witte et al. (2019)40

  • JACC Heart Fail

REDUCE FMRFunctional mitral regurgitationCatheter-based mitral annuloplasty vs. coronary sinus angiography only87/33Change in mitral regurgitant volume at 12 monthsYes
  • Weber et al. (2020)41

  • JACC Cardiovasc Interv

REDUCE HTN: REINFORCEMild-to-moderate hypertension in the absence of antihypertensive medicationCatheter-based RDN (bipolar radiofrequency catheter) vs. renal angiography only34/17Change in 24 h-ambulatory blood pressure at 2 monthsNo
  • Böhm et al. (2020)42

  • Lancet

SPYRAL HTN-OFF MED Pivotal (including pilot phase)Mild-to-moderate hypertension in the absence of antihypertensive medicationCatheter-based RDN (multi-electrode radiofrequency catheter) vs. renal angiography only166/165Change in 24 h-ambulatory blood pressure at 3 monthsYes

BAT, baroreceptor activation therapy; BMS, bare metal stent; CCS, Canadian Cardiovascular Society; CLS, closed-loop-stimulation; DES, drug-eluting stent; EF, ejection fraction; HFpEF/HFrEF, heart failure with preserved/reduced ejection fraction; MACE, major adverse cardiovascular events; PCWP, pulmonary capillary pressure; PFO, patent foramen oval; PMLR, percutaneous myocardial laser revascularization; PTA, percutaneous transluminal angioplasty; PTCA, percutaneous transluminal coronary angioplasty; RDN, renal denervation; SBP, systolic blood pressure.

a

Composite of death, myocardial infarction, repeat target lesion or percutaneous revascularization, and coronary artery bypass surgery.

b

Composite of (i) blood pressure responder rate at 6 months, (ii) sustained blood pressure-lowering response at 12 months, (iii) procedure, (iv) BAT, and (v) device safety.

Close
This Feature Is Available To Subscribers Only

Sign In or Create an Account

Close

This PDF is available to Subscribers Only

View Article Abstract & Purchase Options

For full access to this pdf, sign in to an existing account, or purchase an annual subscription.

Close