Right greater splanchnic nerve Ablation useful treatment option for managing HFpEF: Study
Right greater splanchnic nerve (GSN) ablation in HFpEF is a useful treatment modality suggests a study published in the European Journal of Heart Failure.
Inappropriate control of blood volume redistribution maybe a mechanism responsible for exercise intolerance in heart failure with preserved ejection fraction (HFpEF).
A first of its kind human clinical trial was conducted by a group of researchers from the Czech Republic and Poland wherein they tried to demonstrate the effectiveness of selective blockade of sympathetic signaling to the splanchnic circulation by surgical ablation of the right greater splanchnic nerve (GSN) in HFpEF patients.
The researchers conducted a single-arm, prospective, two-center trial, among 10 patients with HFpEF all with New York Heart Association (NYHA) class III, left ventricular ejection fraction >40%, pulmonary capillary wedge pressure (PCWP) ≥15 mmHg at rest or ≥25 mmHg with supine cycle ergometry underwent ablation of the right GSN via thoracoscopic surgery.
Patients were evaluated at baseline, 1, 3, 6 and 12 months after the procedure. The primary endpoint was a reduction in exercise PCWP at 3 months.
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