Successful accessory renal artery denervation in a patient with resistant hypertension

Renal sympathetic denervation is safe and effective in patients with resistant hypertension. In all of the studies of renal artery denervation, patients with accessory renal arteries are excluded. So there is not any data regarding renal sympathetic denervation applied to the accessory renal arterie...

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Main Authors: Halil Atas, Erdal Durmus, Murat Sunbul, Bulent Mutlu
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Heart Views
Subjects:
Online Access:http://www.heartviews.org/article.asp?issn=1995-705X;year=2014;volume=15;issue=1;spage=19;epage=21;aulast=Atas
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author Halil Atas
Erdal Durmus
Murat Sunbul
Bulent Mutlu
author_facet Halil Atas
Erdal Durmus
Murat Sunbul
Bulent Mutlu
author_sort Halil Atas
collection DOAJ
description Renal sympathetic denervation is safe and effective in patients with resistant hypertension. In all of the studies of renal artery denervation, patients with accessory renal arteries are excluded. So there is not any data regarding renal sympathetic denervation applied to the accessory renal arteries. We present a young female patient with resistant hypertension despite use of five different antihypertensive drugs. The patient had a well developed (diameter >4 mm) left renal accessory. We believe that if we omitted the well developed accessory renal artery, we would not have maintained adequate blood pressure control. Thus, we applied radiofrequency ablation to both renal arteries and left accessory artery. Immediately after the procedure, the patient′s blood pressure was reduced to 110/60 mmHg and this effect was continued during the first month of follow-up.
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spelling doaj.art-0e1fcf3c95374535ba25ea7e78116a572022-12-21T21:04:39ZengWolters Kluwer Medknow PublicationsHeart Views1995-705X2014-01-01151192110.4103/1995-705X.132142Successful accessory renal artery denervation in a patient with resistant hypertensionHalil AtasErdal DurmusMurat SunbulBulent MutluRenal sympathetic denervation is safe and effective in patients with resistant hypertension. In all of the studies of renal artery denervation, patients with accessory renal arteries are excluded. So there is not any data regarding renal sympathetic denervation applied to the accessory renal arteries. We present a young female patient with resistant hypertension despite use of five different antihypertensive drugs. The patient had a well developed (diameter >4 mm) left renal accessory. We believe that if we omitted the well developed accessory renal artery, we would not have maintained adequate blood pressure control. Thus, we applied radiofrequency ablation to both renal arteries and left accessory artery. Immediately after the procedure, the patient′s blood pressure was reduced to 110/60 mmHg and this effect was continued during the first month of follow-up.http://www.heartviews.org/article.asp?issn=1995-705X;year=2014;volume=15;issue=1;spage=19;epage=21;aulast=AtasAccessory renal arteryrenal sympathetic denervationresistant hypertension
spellingShingle Halil Atas
Erdal Durmus
Murat Sunbul
Bulent Mutlu
Successful accessory renal artery denervation in a patient with resistant hypertension
Heart Views
Accessory renal artery
renal sympathetic denervation
resistant hypertension
title Successful accessory renal artery denervation in a patient with resistant hypertension
title_full Successful accessory renal artery denervation in a patient with resistant hypertension
title_fullStr Successful accessory renal artery denervation in a patient with resistant hypertension
title_full_unstemmed Successful accessory renal artery denervation in a patient with resistant hypertension
title_short Successful accessory renal artery denervation in a patient with resistant hypertension
title_sort successful accessory renal artery denervation in a patient with resistant hypertension
topic Accessory renal artery
renal sympathetic denervation
resistant hypertension
url http://www.heartviews.org/article.asp?issn=1995-705X;year=2014;volume=15;issue=1;spage=19;epage=21;aulast=Atas
work_keys_str_mv AT halilatas successfulaccessoryrenalarterydenervationinapatientwithresistanthypertension
AT erdaldurmus successfulaccessoryrenalarterydenervationinapatientwithresistanthypertension
AT muratsunbul successfulaccessoryrenalarterydenervationinapatientwithresistanthypertension
AT bulentmutlu successfulaccessoryrenalarterydenervationinapatientwithresistanthypertension