Research Summary
Analyzed using Evidence Intelligence™

Endovascular denervation may improve glycemic control in type 2 diabetes

Last updated July 18, 2026

Key finding

HbA1c decreased by 1.0% at 6 months (P < 0.001).

This study investigated endovascular denervation targeting the celiac and hepatic arteries in patients with poorly controlled type 2 diabetes, finding significant reductions in HbA1c levels.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Long-Term (1–5 y)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study investigated endovascular denervation targeting the celiac and hepatic arteries in patients with poorly controlled type 2 diabetes, finding significant reductions in HbA1c levels.

Clinical relevance

This research highlights a potential new approach for managing type 2 diabetes, particularly in patients who struggle to control their blood sugar levels. By targeting specific arteries, this method may offer an alternative to traditional treatments, potentially improving patient outcomes and quality of life.

Keep in mind

Non-randomized study design limits causal inferences. Sample size may affect the generalizability of results. Follow-up duration may not capture long-term effects.

Published in

Journal Reference

Publication details and source links for this paper.

Zhi W, Tao P, Weifu L, et al. Endovascular denervation targeting the celiac and hepatic arteries in patients with poorly controlled type 2 diabetes. Signal Transduction and Targeted Therapy. 2025;10:371. doi:10.1038/s41392-025-02459-6

Main Effects

HbA1c decreased by 1.0% at 1 month (P < 0.001).

HbA1c decreased by 1.2% at 3 months.

Time in range increased by 15.4% at 1 month.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Endovascular denervation (EDN) targeting the celiac and hepatic arteries and Adverse events incidence, Blood pressure reduction, Device- and/or procedure-related major adverse events (MAEs), and 2 more.

Primary intervention

Endovascular denervation (EDN) targeting the celiac and hepatic arteries

Primary outcomes

  • Adverse events incidence
  • Blood pressure reduction
  • Device- and/or procedure-related major adverse events (MAEs)

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

5
Evidence pairs
5
Relationships
2
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 68

2

Related topics

5

Evidence pairs

555

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 5 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

Glycemic Control

matched_outcome

Related evidence

Evidence topic

HbA1c Reduction

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Adverse events incidence

Endovascular denervation (EDN) targeting the celiac and hepatic arteries → Adverse events incidence

Endovascular denervation (EDN) targeting the celiac and hepatic arteries → Adverse events incidence

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Blood pressure reduction

Endovascular denervation (EDN) targeting the celiac and hepatic arteries → Blood pressure reduction

Endovascular denervation (EDN) targeting the celiac and hepatic arteries → Blood pressure reduction

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Device- and/or procedure-related major adverse events (MAEs)

Endovascular denervation (EDN) targeting the celiac and hepatic arteries → Device- and/or procedure-related major adverse events (MAEs)

Endovascular denervation (EDN) targeting the celiac and hepatic arteries → Device- and/or procedure-related major adverse events (MAEs)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Endovascular denervation (EDN) targeting the celiac and hepatic arteries → HbA1c

Endovascular denervation (EDN) targeting the celiac and hepatic arteries → HbA1c

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Time in range

Endovascular denervation (EDN) targeting the celiac and hepatic arteries → Time in range

Endovascular denervation (EDN) targeting the celiac and hepatic arteries → Time in range

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • HbA1c decreased by 1.0% at 6 months (P < 0.001).
  • Adverse events reported in 37% of patients, mostly mild to moderate.
  • Time in range increased by 14.9% at 3 months.
who this applies

Who this applies to

  • Adults with poorly controlled type 2 diabetes.
  • Patients seeking alternative treatments for diabetes management.
keep in mind

Keep in Mind

  • Results may not apply to all diabetes patients.
  • Further studies needed to confirm long-term benefits.
  • Mild gastrointestinal symptoms were common among some patients.
between the lines

Between the Lines

  • Non-randomized study design limits causal inferences.
  • Sample size may affect the generalizability of results.
  • Follow-up duration may not capture long-term effects.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Endovascular denervation (EDN) targeting the celiac and hepatic arteries and Adverse events incidence, Endovascular denervation (EDN) targeting the celiac and hepatic arteries and Blood Pressure.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

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Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Endovascular denervation (EDN) targeting the celiac and hepatic arteries improve blood pressure reduction?

Emerging Evidence

Endovascular denervation (EDN) targeting the celiac and hepatic arteries appears to improve Blood pressure reduction.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Blood pressure reduction

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Endovascular denervation (EDN) targeting the celiac and hepatic arteries affect device- and/or procedure-related major adverse events (maes)?

Emerging Evidence

Endovascular denervation (EDN) targeting the celiac and hepatic arteries appears to improve Device- and/or procedure-related major adverse events (MAEs).

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Device- and/or procedure-related major adverse events (MAEs)

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Endovascular denervation (EDN) targeting the celiac and hepatic arteries improve HbA1c?

Emerging Evidence

Endovascular denervation (EDN) targeting the celiac and hepatic arteries appears to improve HbA1c.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Endovascular denervation (EDN) targeting the celiac and hepatic arteries affect adverse events incidence?

Emerging Evidence

Current evidence does not show a clear benefit of Endovascular denervation (EDN) targeting the celiac and hepatic arteries for Adverse events incidence.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Adverse events incidence

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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