Table 2. Safety Outcomes: Major Adverse Event Rates (Patient-Level, Nonhierarchical)a.
Events | No. (%) | |
---|---|---|
uRDN (n = 293) | Sham (n = 213) | |
30-d Events | ||
All-cause mortalityb | 1 (0.3) | 0 (0) |
New-onset ESKD (eGFR<15 mL/min/m2 or need for kidney replacement therapy) | 0 (0) | 0 (0) |
Significant embolic event resulting in end-organ damage | 0 (0) | 0 (0) |
Kidney artery perforation or dissection requiring an invasive intervention | 0 (0) | 0 (0) |
Major vascular complications requiring surgical repair, interventional procedure, thrombin injection, or blood transfusionc | 1 (0.3) | 0 (0) |
Hospitalization for hypertensive or hypotensive crisisc | 1 (0.3) | 0 (0) |
Hospitalization for major cardiovascular or hemodynamic-related eventsd | 1 (0.3) | 0 (0) |
New-onset stroke | 0 (0) | 0 (0) |
New-onset myocardial infarction | 0 (0) | 0 (0) |
6-mo Events | ||
New-onset kidney artery stenosis >70% | 0 (0) | 0 (0) |
Abbreviations: eGFR, estimated glomerular filtration rate; ESKD, end-stage kidney disease; IV, intravenous; uRDN, ultrasound-based renal denervation.
Five major adverse events occurred in 3 of 293 patients (1.0%) in the uRDN arm. Multiple events occurred in a single patient (2 vascular complications and a hospitalization for hypotension).
The patient was well at 1 week outpatient follow-up; on postprocedure day 13, the patient was diagnosed with prostate carcinoma. On day 21, patient was found deceased at home.
The patient was diagnosed with a pseudoaneurysm treated with IV thrombin injection; the patient also received IV fluids for symptomatic hypotension. On postprocedure day 15, the patient was readmitted and was diagnosed with a deep venous thrombosis that was treated.
The patient had a vasovagal response postprocedure reversed after administration of fluids and atropine, and the patient was admitted for monitoring.