Details

Autor(en) / Beteiligte

• Zemke, Anna M
• Rodby, Roger A
• Hertl, Martin
• Waleed, Ali
• Bakris, George L

Titel

Successful treatment of refractory hypertension with bilateral nephrectomy in a patient with chronic kidney disease stage 3

Ist Teil von

• Clinical kidney journal, 2022-02, Vol.15 (2), p.347-350

Ort / Verlag

England: Oxford University Press

Erscheinungsjahr

2022

Quelle

Elektronische Zeitschriftenbibliothek (Open access)

Beschreibungen/Notizen

• ABSTRACT 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.