Abstract
Percutaneous renal sympathetic denervation is an evolving therapy for resistant hypertension. Evidence to date demonstrates a reduction of blood pressure in the short term to medium term. Reported complications relate to problems with vascular access vessels and dissection of the renal artery. Renal artery stenosis has not been described in the literature. We present a patient with hypertensive crisis, flash pulmonary edema, and deterioration of renal function, secondary to bilateral renal artery stenosis, 9 months after renal sympathetic radiofrequency ablation denervation.
Crown Copyright © 2015. Published by Elsevier Inc. All rights reserved.
MeSH terms
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Blood Pressure
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Catheter Ablation / adverse effects*
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Endovascular Procedures / instrumentation
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Female
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Humans
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Hypertension / diagnosis
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Hypertension / physiopathology
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Hypertension / surgery*
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Hypertension, Renovascular / diagnosis
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Hypertension, Renovascular / etiology*
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Hypertension, Renovascular / physiopathology
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Hypertension, Renovascular / therapy
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Kidney / innervation*
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Middle Aged
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Pulmonary Edema / etiology
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Renal Artery Obstruction / diagnosis
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Renal Artery Obstruction / etiology*
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Renal Artery Obstruction / physiopathology
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Renal Artery Obstruction / therapy
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Severity of Illness Index
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Stents
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Sympathectomy / adverse effects*
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Sympathectomy / methods
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Tomography, X-Ray Computed
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Treatment Outcome