Major Milestone in Advanced Hypertension Care
Marengo CIMS Hospital has achieved a significant clinical milestone by successfully completing six Renal Denervation (RDN) procedures—among the highest numbers performed in India and the highest in Gujarat. With this achievement, the hospital has positioned itself among the country’s leading centres offering this advanced therapy for patients with resistant hypertension.
Senior interventional cardiologists Dr. Keyur Parikh, Dr. Vipul Kapoor, and Dr. Tejas V. Patel performed the procedures, reinforcing the hospital’s leadership in cutting-edge cardiovascular care.
Challenging Case Highlights Need for RDN
One notable case involved a 57-year-old man whose systolic blood pressure persistently remained above 200 mmHg despite treatment with seven antihypertensive medications. In addition, his medical history included coronary artery disease, diabetes, double-vessel disease, and a prior left circumflex coronary stent placement in 2014. Despite aggressive conventional therapy with six to seven medications daily, his blood pressure remained uncontrolled.
Addressing the Root Cause of Resistant Hypertension
Explaining the significance of the procedure, Dr. Keyur Parikh, Chairman, Marengo CIMS Hospital, said that when blood pressure stays above 140/90 mmHg despite three or more medications, the risk of stroke, heart failure, and kidney damage rises sharply. He added that renal denervation helps clinicians target the underlying cause of resistant hypertension, rather than continuously increasing medication burden.
Procedure Details and Advanced Technology
On 27 January 2026, the team performed renal denervation at Marengo CIMS Hospital under the care of Dr. Keyur Parikh, with support from Dr. Tejas V. Patel and Dr. Vipul Kapoor, and anaesthetic standby by Dr. Hiren Dholakia. Using a right femoral artery approach, the team carried out a carefully planned bilateral renal denervation.
As per the press release, they employed the Simplicity Spyral™ catheter along with the AI-enabled Simplicity G3 generator to ensure precision and safety. Over nearly three hours, the team successfully delivered 36 radiofrequency ablations—23 on the right renal artery and 13 on the left—thereby interrupting the overactive renal sympathetic nerves responsible for resistant hypertension.
Encouraging Outcomes and Faster Recovery
Following the procedure, the patient recovered well and was discharged the very next day. Similarly, a comparable case performed a few months earlier on a middle-aged woman showed remarkable results. Her blood pressure, which previously exceeded 200 mmHg despite six medications daily, is now well controlled at around 130/80 mmHg on just two tablets.
Growing Role of Renal Denervation in India
With nearly 188 million Indians affected by hypertension, renal denervation is steadily emerging as an effective option for patients who fail to respond to standard medical therapy. By offering sustained blood pressure control, the procedure also helps reduce long-term risks such as stroke, heart failure, and chronic kidney disease—marking a promising shift in the management of resistant hypertension.