Key result
Bilateral nephrectomy as a rescue therapy led to better blood pressure control and allowed a reduction in the number and dosage of antihypertensive medications in a hemodialyzed patient.
Why the study?
Does bilateral nephrectomy improve blood pressure control in a hemodialyzed patient with malignant hypertension resistant to medical therapy?
Case Report (n=1)
Does bilateral nephrectomy improve blood pressure control in a hemodialyzed patient with malignant hypertension resistant to medical therapy?
Bilateral nephrectomy can serve as an effective rescue therapy for hemodialysis patients with malignant hypertension refractory to maximal medical therapy.
Hypothesis-generating for bilateral nephrectomy in refractory dialysis hypertension; prospective trials needed before adoption.
We present the case of a 64-year-old male patient in whom malignant phase of hypertension developed during dialysis therapy. Hypertension was resistant to pharmacological therapy with seven antihypertensive drugs and dialysis therapy with ultrafiltration. In this patient bilateral nephrectomy was performed as a rescue therapy. It led to better control of blood pressure and allowed to reduce the number and dosage of antihypertensive medications.
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Macsim et al. (2012) conducted a case report in Malignant hypertension during dialysis therapy (n=1). Bilateral nephrectomy was evaluated on Blood pressure control and reduction of antihypertensive medications. Bilateral nephrectomy as a rescue therapy led to better blood pressure control and allowed a reduction in the number and dosage of antihypertensive medications in a hemodialyzed patient.
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