
Sophie Brauers
Cardiologist and co-director of the Hypertension and Lipid Clinic at the Cardiovascular Center, OLV Hospital Aalst, Belgium, and part-time professor at Vrije Universiteit Brussel.
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Jul 30, 2026
Which patient should have renal denervation in 2026?
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Flavio RibichiniHOST
The first question I'd like to address you is what does the guidelines say regarding the application of the therapy in current practice?

Sophie BrauersGUEST
I think there has been a very important revolution or evolution in the recent years coming from the 2018 guidelines not really endorsing renal denervation and now all major guidelines and a lot of national guidelines or documents really endorse renal denervation for patients with uncontrolled resistant hypertension.

Sophie BrauersGUEST
including taking a pharmacotherapy compounds, including a diuretic, with an EGFR of 40 or above, and with an exclusion of secondary hypertension and pseudoresistance.

Sophie BrauersGUEST
So it is broadened, but still the evidence I think behind it is wider than that.

Sophie BrauersGUEST
So if you see what the guidelines propose as the ideal candidate, is that also in your practice the candidate that you always take for renal denervation?

Sophie BrauersGUEST
Yes, I think it's very important to really see the difference because resistant hypertension is actually not so common.