renal denervation team
From left to right: Shary Firouzabadian, Sarah Rowe, Brandon French, Pratik Sandesara MD, Evan Trawick, Leesa Ann Dean, Grant Darian Reynolds

Photo by: Emory Heart & Vascular

ATLANTA - Emory Healthcare is pleased to announce treatment of the first patient with a new commercially available renal denervation (RDN) procedure, now offered for certain patients with high blood pressure. Approved by the U.S. Food and Drug Administration (FDA), the Medtronic Symplicity Spyral™ renal denervation system involves a minimally invasive procedure that targets nerves around the kidneys that can become overactive and cause high blood pressure.

“High blood pressure is a significant problem for patients all around the world. For people with hypertension, medication and/or lifestyle changes can help lower blood pressure, but studies have shown that many people still don’t have adequate control over their condition,” says Pratik Sandesara, MD interventional cardiologist at Emory Healthcare.

The procedure was a part of a decades long study called the SPYRAL HTN Pivotal Trial, which aimed to determine the efficacy and safety of renal denervation. The randomized investigational study tested the renal denervation procedure in up to 433 patients at 50 sites in the United States, Europe, Australia and Japan. Researchers at Emory participated in the global study.

During the procedure, a catheter is advanced through a minimal puncture in a groin artery and then threaded into the kidney arteries. Once there, the catheter delivers low-power radiofrequency energy to heat nerves in the walls of the artery with the goal of reducing the impact these nerves play in raising blood pressure. The technique, called ablation, is similar to one commonly used by doctors to stabilize irregular heartbeats.

“It can provide patients with a blood pressure reduction benefit that is ‘always on’ and doesn’t require a permanent implant – it can also help patients regain their peace of mind, “says Sandesara. 

Retirement renewed thanks to Renal Denervation

73-year-old Robert Starks can’t remember a day when his ankles weren’t swollen. The retired veteran has suffered for over a decade with chronic high blood pressure. “It was painful and I was always worn out. I went to multiple doctors who tried to help me but after years of being on medication, nothing seemed helped,” says Starks.

Starks was diagnosed with congestive heart failure in 2017 and underwent a stent procedure. But he just couldn’t seem to get his blood pressure under control. One night while watching the news, he learned about a new procedure helping people with high blood pressure called renal denervation. It sounded promising so he decided to reach out to Emory Healthcare and found out they were able to perform it. “I knew if I went to Emory, I would be in good hands.”

In November 2025, Starks became the first patient to undergo the renal denervation procedure with the Medtronic Symplicity Spyral™ at Emory University Midtown Hospital. The procedure took about an hour and allowed Starks to go home the same day. Today, Starks is enjoying his retirement without the swollen ankles and takes his bike on nightly rides along with spending quality time with his wife and grandkids. “I feel so much better now. I want to thank everyone who helped me at Emory.”

renal denervation patient
Robert Starks with his wife, Jacqueline.

Photo by: Robert Starks

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Audra Mincey
Heart & Vascular
audra.mincey@emoryhealthcare.org

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Emory Healthcare treats first patient with new, minimally invasive technology to help control high blood pressure

Date: Jul 24, 2026