Ultrasound common hepatic artery denervation (CHA-D) as a novel neuromodulatory strategy for cardiovascular-kidney-metabolic syndrome: first-in-human experience - Summary - MDSpire

Ultrasound common hepatic artery denervation (CHA-D) as a novel neuromodulatory strategy for cardiovascular-kidney-metabolic syndrome: first-in-human experience

  • By

  • Mert Tokcan

  • Franciska Diana Wolter

  • Mathias Hohl

  • Peter Fries

  • Thorsten Kessler

  • Saarraaken Kulenthiran

  • Michael Böhm

  • June 3, 2026

  • 0 min

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Objective:

To present the first-in-human use of ultrasound-guided common hepatic artery denervation (CHA-D) in a patient with uncontrolled hypertension and high cardiometabolic risk, highlighting its potential as a novel treatment option.

Key Findings:
  • The patient had uncontrolled hypertension and significant cardiometabolic comorbidities, indicating a high-risk profile.
  • Ultrasound CHA-D was performed safely with no immediate complications, suggesting its feasibility.
  • The procedure aimed to explore additional blood pressure lowering effects beyond renal denervation, potentially offering new avenues for treatment.
Interpretation:

The study highlights the potential of CHA-D as an innovative approach for managing uncontrolled hypertension in patients with limited treatment options.

Limitations:
  • The study presents a single-case intervention, limiting generalizability and necessitating caution in interpretation.
  • No formal ethics committee approval was required, which may raise concerns about oversight and the robustness of the study.
Conclusion:

Ultrasound-guided CHA-D may represent a novel therapeutic option for patients with resistant hypertension and associated metabolic disorders, but further studies are needed to validate these findings and assess long-term outcomes.

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