Percutaneous Renal Sympathetic Denervation for the Treatment of Resistant Hypertension with Heart Failure: First Experience in Korea

被引:5
作者
Yang, Jeong Hoon [1 ]
Choi, Seung-Hyuk [1 ]
Gwon, Hyeon-Cheol [1 ]
机构
[1] Sungkyunkwan Univ, Samsung Med Ctr, Cardiac & Vasc Ctr, Div Cardiol,Dept Med,Sch Med, Seoul 135710, South Korea
关键词
Resistant Hypertension; Renal Sympathetic Denervation;
D O I
10.3346/jkms.2013.28.6.951
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Percutaneous catheter-based therapy has recently been introduced to decrease blood pressure by ablation of efferent and afferent sympathetic renal nerves. The patient described here had a seven-year history of hypertension and presented with poorly controlled blood pressure despite antihypertensive therapy with four different drugs. A 44-yr-old man underwent percutaneous renal denervation under local anesthesia using an ablation catheter. After six months of follow-up his blood pressure had dropped 49/37 mmHg with a decrease in 24-hr ambulatory BP of 20/18 mmHg. Renal Doppler ultrasound showed no significant stenosis in either renal artery. This is the first case of successful percutaneous renal denervation, which has recently become available in Korea.
引用
收藏
页码:951 / 954
页数:4
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