title: Bilateral nephrectomy for uncontrolled hypertension in hemodialysis patient: a forgotten option?
abstract: Resistant arterial hypertension in chronic hemodialysis patients is still a therapeutical challenge despite the development of modern antihypertensive drugs and dialysis procedures. Bilateral nephrectomy seems to be a forgotten option, although it has given good results. We present a case of a 39-year-old female chronic hemodialysis patient, in whom the problem of uncontrolled renal parenchymal hypertension remained despite multiple drug therapy and the ultrafiltration intensification. The problem was solved by bilateral nephrectomy. We discuss the role of bilateral nephrectomy for arterial hypertension control in chronic hemodialysis patients and the surgical and non-surgical options of nephrectomy.
authors.affiliation: Department of Nephrology, Clinic for Internal Medicine, University Medical Centre Maribor, Ljubljanska 5, 2000 Maribor, Slovenia. Electronic address: masaknehtl@gmail.com.
authors.forename: M
authors.initials: M
authors.lastname: Knehtl
authors.affiliation: Department of Nephrology, Clinic for Internal Medicine, University Medical Centre Maribor, Ljubljanska 5, 2000 Maribor, Slovenia.
authors.forename: S
authors.initials: S
authors.lastname: Bevc
authors.affiliation: Department of Nephrology, Clinic for Internal Medicine, University Medical Centre Maribor, Ljubljanska 5, 2000 Maribor, Slovenia.
authors.forename: R
authors.initials: R
authors.lastname: Hojs
authors.affiliation: Department of Urology, Clinic for Surgery, University Medical Centre Maribor, Ljubljanska 5, 2000 Maribor, Slovenia.
authors.forename: G
authors.initials: G
authors.lastname: Hlebič
authors.affiliation: Department of Dialysis, Clinic for Internal Medicine, University Medical Centre Maribor, Ljubljanska 5, 2000 Maribor, Slovenia.
authors.forename: R
authors.initials: R
authors.lastname: Ekart
mesh_terms: D000328:Adult; D004351:Drug Resistance; D005260:Female; D006801:Humans; D006973:Hypertension / Q000601:surgery*; D009392:Nephrectomy / Q000379:methods*; D006435:Renal Dialysis
keywords: Arterial hypertension; Bilateral nephrectomy; Hemodialysis