Why the study?
Does bilateral nephrectomy improve arterial hypertension control in chronic hemodialysis patients with resistant hypertension?
Does bilateral nephrectomy improve arterial hypertension control in chronic hemodialysis patients with resistant hypertension?
Bilateral nephrectomy may be an effective, albeit forgotten, option for controlling resistant arterial hypertension in chronic hemodialysis patients when medical therapy and ultrafiltration fail.
May support bilateral nephrectomy for resistant hypertension in hemodialysis when therapy fails; hypothesis-generating case report requiring confirmation.
Resistant arterial hypertension in chronic hemodialysis patients is still a therapeutical challenge despite the development of modern antihypertensive drugs and dialysis procedures. Bilateral nephrectomy seems to be a forgotten option, although it has given good results. We present a case of a 39-year-old female chronic hemodialysis patient, in whom the problem of uncontrolled renal parenchymal hypertension remained despite multiple drug therapy and the ultrafiltration intensification. The problem was solved by bilateral nephrectomy. We discuss the role of bilateral nephrectomy for arterial hypertension control in chronic hemodialysis patients and the surgical and non-surgical options of nephrectomy.
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Knehtl et al. (2014) studied this question.
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