Journal
CLINICAL KIDNEY JOURNAL
Volume 15, Issue 2, Pages 347-350Publisher
OXFORD UNIV PRESS
DOI: 10.1093/ckj/sfab179
Keywords
nephrectomy; refractory hypertension; renal denervation; sympathetic nervous system
Categories
Ask authors/readers for more resources
This case suggests that BLN treatment should be considered in some rHTN patients before they develop ESKD, rather than only using RDN.
We present a case of life-threatening refractory hypertension (rHTN) in a patient with stage 3b chronic kidney disease that was unresponsive to open surgical renal denervation (RDN) but responded to bilateral nephrectomy (BLN). Both RDN and BLN reduce the increased sympathetic activation in rHTN. However, RDN has yet to show reductions in blood pressure adequate for the average patient with rHTN, and BLN has thus far been reserved for patients with preexisting end-stage kidney disease (ESKD). Our case suggests that there are patients with rHTN that warrant consideration of BLN prior to developing ESKD.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available