Renal artery stenosis following renal percutaneous denervation

Catheter Cardiovasc Interv. 2014 Dec 1;84(7):1180-3. doi: 10.1002/ccd.25546. Epub 2014 Jun 11.

Abstract

Renal denervation has been shown to be safe and effective in reducing blood pressure in treatment-resistant hypertensive patients. We describe a 65-year-old lady with essential hypertension who underwent renal denervation using the Vessix™ single shot multielectrode system. Twelve months later renal duplex scanning documented increased velocities in the left renal artery and repeat angiography confirmed the development of a new stenosis. Although renal denervation is a promising therapy, we advise caution as large randomized blinded studies with long-term follow-up are still ongoing.

Keywords: ablation; catheter/cryoblation/radio frequency; hypertension; renal artery disease.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angiography
  • Essential Hypertension
  • Female
  • Humans
  • Hypertension / surgery*
  • Postoperative Complications
  • Renal Artery / diagnostic imaging
  • Renal Artery / innervation*
  • Renal Artery Obstruction / diagnostic imaging
  • Renal Artery Obstruction / etiology*
  • Sympathectomy / adverse effects*
  • Ultrasonography, Doppler, Duplex