Table 5

Specific considerations related to the RDN device

Symplicity Spyral RF catheter systemParadise US catheter system
Anatomical eligibility criteriaTreatment of all accessible arteries with a diameter of 3-8 mmTreatment of accessible main renal arteries with a diameter of 3-8 mm
AccessFemoral access (6 Fr)Femoral access (7 Fr)
WiringConsider use of extra-support wires or buddy wires in tortuous anatomyConsider use of extra-support wires or buddy wires in tortuous anatomy
Ablation sitesMain renal artery and branchesMain renal artery, 2-3 ablations per artery. The selection of catheter size and ablation site required preprocedural planning with CT/MRA in trials. Final sizing can be done during the renal angiogram before the procedure
Arterial wall contactEnsure appropriate contact of the RF electrodes and the vessel wall
Ensure energy delivery (for at least 45 sec, ideally 60 sec)
Ensure complete occlusion of the renal artery after balloon inflation
DurationSimultaneous ablation at 4 points (for at least 45 sec, ideally 60 sec)7 seconds per ablation
Symplicity Spyral RF catheter systemParadise US catheter system
Anatomical eligibility criteriaTreatment of all accessible arteries with a diameter of 3-8 mmTreatment of accessible main renal arteries with a diameter of 3-8 mm
AccessFemoral access (6 Fr)Femoral access (7 Fr)
WiringConsider use of extra-support wires or buddy wires in tortuous anatomyConsider use of extra-support wires or buddy wires in tortuous anatomy
Ablation sitesMain renal artery and branchesMain renal artery, 2-3 ablations per artery. The selection of catheter size and ablation site required preprocedural planning with CT/MRA in trials. Final sizing can be done during the renal angiogram before the procedure
Arterial wall contactEnsure appropriate contact of the RF electrodes and the vessel wall
Ensure energy delivery (for at least 45 sec, ideally 60 sec)
Ensure complete occlusion of the renal artery after balloon inflation
DurationSimultaneous ablation at 4 points (for at least 45 sec, ideally 60 sec)7 seconds per ablation

CT: computed tomography; MRA: magnetic resonance angiography; RF: radiofrequency; US: ultrasound

Table 5

Specific considerations related to the RDN device

Symplicity Spyral RF catheter systemParadise US catheter system
Anatomical eligibility criteriaTreatment of all accessible arteries with a diameter of 3-8 mmTreatment of accessible main renal arteries with a diameter of 3-8 mm
AccessFemoral access (6 Fr)Femoral access (7 Fr)
WiringConsider use of extra-support wires or buddy wires in tortuous anatomyConsider use of extra-support wires or buddy wires in tortuous anatomy
Ablation sitesMain renal artery and branchesMain renal artery, 2-3 ablations per artery. The selection of catheter size and ablation site required preprocedural planning with CT/MRA in trials. Final sizing can be done during the renal angiogram before the procedure
Arterial wall contactEnsure appropriate contact of the RF electrodes and the vessel wall
Ensure energy delivery (for at least 45 sec, ideally 60 sec)
Ensure complete occlusion of the renal artery after balloon inflation
DurationSimultaneous ablation at 4 points (for at least 45 sec, ideally 60 sec)7 seconds per ablation
Symplicity Spyral RF catheter systemParadise US catheter system
Anatomical eligibility criteriaTreatment of all accessible arteries with a diameter of 3-8 mmTreatment of accessible main renal arteries with a diameter of 3-8 mm
AccessFemoral access (6 Fr)Femoral access (7 Fr)
WiringConsider use of extra-support wires or buddy wires in tortuous anatomyConsider use of extra-support wires or buddy wires in tortuous anatomy
Ablation sitesMain renal artery and branchesMain renal artery, 2-3 ablations per artery. The selection of catheter size and ablation site required preprocedural planning with CT/MRA in trials. Final sizing can be done during the renal angiogram before the procedure
Arterial wall contactEnsure appropriate contact of the RF electrodes and the vessel wall
Ensure energy delivery (for at least 45 sec, ideally 60 sec)
Ensure complete occlusion of the renal artery after balloon inflation
DurationSimultaneous ablation at 4 points (for at least 45 sec, ideally 60 sec)7 seconds per ablation

CT: computed tomography; MRA: magnetic resonance angiography; RF: radiofrequency; US: ultrasound

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