Key result
3D angiography-guided radiofrequency renal denervation successfully treats refractory hypertension in a single-patient case.
Why the study?
Refractory primary hypertension despite high doses of multiple anti-hypertensive drugs remains challenging to treat.
Case Report (n=1)
High-resolution 3D angiography can be used to support and confirm the positioning of radiofrequency applications during renal denervation for refractory hypertension.
Hypothesis-generating for 3D angiography-guided renal denervation in refractory hypertension; prospective trials needed before adoption.
A 53-year-old male was referred to our Department for refractory primary hypertension. Despite high doses of 6 anti-hypertensive drugs, ambulatory monitoring of blood pressure (BP) revealed a mean BP of 160/90 mmHg. Under local anaesthesia, renal denervation with radiofrequency was performed supported by high-resolution 3D angiography, which helped confirm the position of the applications in a spiroid fashion.
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Alegría‐Barrero et al. (2013) conducted a case report in Refractory primary hypertension (n=1). Renal denervation with radiofrequency supported by high-resolution 3D angiography was evaluated. Renal denervation with radiofrequency supported by high-resolution 3D angiography was performed to treat refractory primary hypertension in a 53-year-old male.
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