Renal denervation in secondary arterial hypertension therapy: clinical case

Introduction. Renovascular hypertension is one of the most severe types of hypertension in terms of the choice of treatment strategy. Recent studies have not provided a clear answer to the question of which treatment approach (conservative or surgical) is most appropriate for these patients.Brief de...

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Main Authors: A. Yu. Orekhov, L. K. Karazhanova, A. A. Chinibaeva, A. B. Zhaksebergenova
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2024-10-01
Series:Российский кардиологический журнал
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Online Access:https://russjcardiol.elpub.ru/jour/article/view/5784
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author A. Yu. Orekhov
L. K. Karazhanova
A. A. Chinibaeva
A. B. Zhaksebergenova
author_facet A. Yu. Orekhov
L. K. Karazhanova
A. A. Chinibaeva
A. B. Zhaksebergenova
author_sort A. Yu. Orekhov
collection DOAJ
description Introduction. Renovascular hypertension is one of the most severe types of hypertension in terms of the choice of treatment strategy. Recent studies have not provided a clear answer to the question of which treatment approach (conservative or surgical) is most appropriate for these patients.Brief description. The presented case describes a female patient with a longterm uncontrolled hypertension, whose examination revealed bilateral renal artery stenosis. Considering the debatable clinical effectiveness of revascularization of renal artery stenosis, the patient underwent distal renal artery denervation using multielectrode catheters. A decrease in blood pressure was shown. Follow-up of the patient demonstrated stable antihypertensive effect of the procedure, as well as its safety in case of impaired renal function.Discussion. This clinical demonstrates the third way in the treatment of patients with renal arteries stenosis and resistant hypertension — renal sympathetic denervation. This method requires a separate controlled study with individuals with renal dysfunction, including renovascular origin.
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language Russian
publishDate 2024-10-01
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spelling doaj-art-ecaa346e4dd848ea94d64001b4ec9b0c2025-08-20T03:43:46Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202024-10-01293S10.15829/1560-4071-2024-57844128Renal denervation in secondary arterial hypertension therapy: clinical caseA. Yu. Orekhov0L. K. Karazhanova1A. A. Chinibaeva2A. B. Zhaksebergenova3Semey Medical UniversitySemey Medical UniversityAstana Medical UniversitySemey Medical UniversityIntroduction. Renovascular hypertension is one of the most severe types of hypertension in terms of the choice of treatment strategy. Recent studies have not provided a clear answer to the question of which treatment approach (conservative or surgical) is most appropriate for these patients.Brief description. The presented case describes a female patient with a longterm uncontrolled hypertension, whose examination revealed bilateral renal artery stenosis. Considering the debatable clinical effectiveness of revascularization of renal artery stenosis, the patient underwent distal renal artery denervation using multielectrode catheters. A decrease in blood pressure was shown. Follow-up of the patient demonstrated stable antihypertensive effect of the procedure, as well as its safety in case of impaired renal function.Discussion. This clinical demonstrates the third way in the treatment of patients with renal arteries stenosis and resistant hypertension — renal sympathetic denervation. This method requires a separate controlled study with individuals with renal dysfunction, including renovascular origin.https://russjcardiol.elpub.ru/jour/article/view/5784renal denervationhypertensionatherosclerosiskidneycase report
spellingShingle A. Yu. Orekhov
L. K. Karazhanova
A. A. Chinibaeva
A. B. Zhaksebergenova
Renal denervation in secondary arterial hypertension therapy: clinical case
Российский кардиологический журнал
renal denervation
hypertension
atherosclerosis
kidney
case report
title Renal denervation in secondary arterial hypertension therapy: clinical case
title_full Renal denervation in secondary arterial hypertension therapy: clinical case
title_fullStr Renal denervation in secondary arterial hypertension therapy: clinical case
title_full_unstemmed Renal denervation in secondary arterial hypertension therapy: clinical case
title_short Renal denervation in secondary arterial hypertension therapy: clinical case
title_sort renal denervation in secondary arterial hypertension therapy clinical case
topic renal denervation
hypertension
atherosclerosis
kidney
case report
url https://russjcardiol.elpub.ru/jour/article/view/5784
work_keys_str_mv AT ayuorekhov renaldenervationinsecondaryarterialhypertensiontherapyclinicalcase
AT lkkarazhanova renaldenervationinsecondaryarterialhypertensiontherapyclinicalcase
AT aachinibaeva renaldenervationinsecondaryarterialhypertensiontherapyclinicalcase
AT abzhaksebergenova renaldenervationinsecondaryarterialhypertensiontherapyclinicalcase