nctId: NCT06282107 id: BiSAAE-RHT briefTitle: Effectiveness and Safety of BiSAAE for Resistant Hypertension. overallStatus: NOT_YET_RECRUITING date: 2025-01-01 date: 2025-06-30 date: 2026-12-31 date: 2024-02-28 date: 2024-02-28 name: First Affiliated Hospital of Chengdu Medical College class: OTHER briefSummary: Hypertension is a common problem, affecting \>1.1 billion people worldwide. Unfortunately, fewer than one in five treated patients with hypertension have their blood pressure (BP) under control. The increasing number of people with uncontrolled BP despite the use of three or more antihypertensive agents at optimal or maximally tolerated doses, with one of those agents preferably being a diuretic has been described as the resistant hypertension (RH). Achieving BP control is essential because patients with hypertension who have uncontrolled BP have significantly higher rates of all-cause, cardiovascular, heart disease and cerebrovascular disease mortality compared to normotensive individuals, whereas mortality risk in patients with well-controlled BP does not differ from that in normotensive individuals. There are a number of potential factors that contribute to the suboptimal control of hypertension, including medication non-adherence and prescribing inertia. This highlights the limitations of purely pharmacological approaches for the effective management of hypertension. In fact, the activation of the renin-angiotensin-aldosterone system (RAAS) and sympatho-adrenomedullary system play a pathogenic role in triggering and sustaining RH. Superselective adrenal arterial embolization (SAAE) is a catheter-based percutaneous transluminal procedure which selectively injects ethanol into adrenal artery to ablate part of the adrenal gland for suppression of excessive aldosterone and catecholamines. Over the last decade, unilateral SAAE has emerged as a potential treatment option for patients with primary aldosteronism. Whether this approach can be extrapolated to patients with RH is unclear. We thus set out to perform a randomized trial to compare the safety and efficacy of bilateral SAAE with antihypertensive medications in treating RH. conditions: Resistant Hypertension studyType: INTERVENTIONAL phases: NA allocation: RANDOMIZED interventionModel: PARALLEL primaryPurpose: TREATMENT masking: SINGLE whoMasked: OUTCOMES_ASSESSOR count: 72 type: ESTIMATED name: BiSAAE name: traditional triple antihypertensive treatment measure: Change of 24-h average systolic blood pressure measure: Change of 24-h average systolic blood pressure measure: Change of 24-h average systolic blood pressure measure: Change of 24-h average diastolic blood pressure, daytime mean systolic blood pressure, daytime mean diastolic blood pressure, and nighttime average systolic and diastolic blood pressure measure: Change of 24-h average diastolic blood pressure, daytime mean systolic blood pressure, daytime mean diastolic blood pressure, and nighttime average systolic and diastolic blood pressure measure: Change of 24-h average diastolic blood pressure, daytime mean systolic blood pressure, daytime mean diastolic blood pressure, and nighttime average systolic and diastolic blood pressure measure: Change of home systolic and diastolic pressure measure: Change of home systolic and diastolic pressure measure: Change of home systolic and diastolic pressure measure: Difference in the change of office systolic and diastolic pressure between the intervention and control group measure: Difference in the change of office systolic and diastolic pressure between the intervention and control group measure: Difference in the change of office systolic and diastolic pressure between the intervention and control group measure: Difference in the change of blood electrolytes (K+, Na + in mmol/L) between the intervention and control group measure: Difference in the change of blood electrolytes (K+, Na + in mmol/L) between the intervention and control group measure: Difference in the change of blood electrolytes (K+, Na + in mmol/L) between the intervention and control group measure: Change of plasma aldosterone measure: Change of plasma aldosterone measure: Change of plasma aldosterone measure: Change of plasma cortisol measure: Change of plasma cortisol measure: Change of plasma cortisol measure: Change of plasma renin measured measure: Change of plasma renin measured measure: Change of plasma renin measured measure: Change of liver enzymes measure: Change of liver enzymes measure: Change of liver enzymes measure: Change of kidney function measure: Change of kidney function measure: Change of kidney function measure: Change of fasting blood glucose measure: Change of fasting blood glucose measure: Change of fasting blood glucose measure: Change of lipids profiles measure: Change of lipids profiles measure: Change of lipids profiles measure: Change of echocardiography parameters (IVSd、IVSs、LVPWd, LVPWs, LVEDD) measure: Change of echocardiography parameters (IVSd、IVSs、LVPWd, LVPWs, LVEDD) measure: Change of echocardiography parameters (IVSd、IVSs、LVPWd, LVPWs, LVEDD) measure: Change of 24-h urine microalbumin measure: Change of 24-h urine microalbumin measure: Change of 24-h urine microalbumin measure: Change of 24-h urine creatinine measure: Change of 24-h urine creatinine measure: Change of 24-h urine creatinine measure: Change of echocardiography parameters (LVEF) measure: Change of echocardiography parameters (LVEF) measure: Change of echocardiography parameters (LVEF) measure: Change of carotid intima-media thickness measure: Change of carotid intima-media thickness measure: Change of carotid intima-media thickness sex: ALL minimumAge: 30 Years maximumAge: 65 Years stdAges: ADULT stdAges: OLDER_ADULT hasResults: False