title: Role of renal sympathetic denervation in a refractory arterial hypertension patient.
abstract: Despite advances in the pharmacological treatment of arterial hypertension (AHT) and the use of multiple antihypertensive drugs, a small but significant percentage of true severe refractory arterial hypertension patients are still not reaching their target blood pressure. In these cases, renal sympathetic denervation (RSD) seems to be a safe and effective method for severe hypertensive patients who are resistant to multiple drug treatment. We present the case of a 52-year-old patient diagnosed with essential hypertension, resistant to treatment with seven antihypertensive drugs. After 10 hospitalisations without achieving adequate blood pressure control, we decided to propose renal sympathetic denervation as an addition to medical treatment. The procedure was performed without complications in the short to medium-long term, achieving a significant improvement in blood pressure with the intention of reducing overall vascular risk.
authors.affiliation: Unidad de HTA y Riesgo Vascular, Servicio de Nefrología, Hospital Regional Universitario Carlos Haya, Málaga, Spain.
authors.forename: M Dolores
authors.initials: MD
authors.lastname: Martínez-Esteban
authors.forename: Pedro
authors.initials: P
authors.lastname: Aranda-Lara
authors.forename: Joaquín
authors.initials: J
authors.lastname: Muñoz
authors.forename: Remedios
authors.initials: R
authors.lastname: Toledo-Rojas
authors.forename: Eugenia
authors.initials: E
authors.lastname: Sola-Moyano
authors.forename: Álvaro
authors.initials: Á
authors.lastname: Torres-Rueda
authors.forename: Domingo
authors.initials: D
authors.lastname: Hernández-Marrero
mesh_terms: D004351:Drug Resistance; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000601:surgery*; D007668:Kidney / Q000294:innervation*; D008297:Male; D008875:Middle Aged; D013562:Sympathectomy