title: [Post-denervation renal artery stenosis - a matter of concern?].
abstract: Renal denervation, an invasive technique indicated in resistant hypertension patients insufficiently controlled by antihypertensive drugs, has a good safety profile. However, an increasing number of post-denervation renal artery stenosis cases has recently been reported. We describe the case of a 49-year-old woman with resistant hypertension who was referred to our university hypertension center for renal sympathetic denervation. Her daily treatment included six antihypertensive drugs. CT angiography prior to denervation showed no renal artery stenosis or vessel wall lesions. A standard renal denervation procedure using the St Jude protocol was performed. After an initial improvement in blood pressure profile, she presented with a blood pressure impairment at 3 months after renal denervation leading to the diagnosis of a severe right renal artery stenosis.
authors.affiliation: Service d'hypertension, maladies vasculaires et pharmacologie clinique, nouvel hôpital civil, CHRU de Strasbourg, 1, place de l'Hôpital, BP 426, 67091 Strasbourg, France. Electronic address: elena-mihaela.cordeanu@chru-strasbourg.fr.
authors.forename: M
authors.initials: M
authors.lastname: Cordeanu
authors.affiliation: Service d'hypertension, maladies vasculaires et pharmacologie clinique, nouvel hôpital civil, CHRU de Strasbourg, 1, place de l'Hôpital, BP 426, 67091 Strasbourg, France.
authors.forename: S
authors.initials: S
authors.lastname: Gaertner
authors.affiliation: Service de néphrologie, nouvel hôpital civil, CHRU de Strasbourg, 1, place de l'Hôpital, BP 426, 67091 Strasbourg, France.
authors.forename: É
authors.initials: É
authors.lastname: Prinz
authors.affiliation: Service de cardiologie, nouvel hôpital civil, CHRU de Strasbourg, 1, place de l'Hôpital, BP 426, 67091 Strasbourg, France.
authors.forename: F
authors.initials: F
authors.lastname: Bronner
authors.affiliation: Service de radiologie interventionnelle, nouvel hôpital civil, CHRU de Strasbourg, 1, place de l'Hôpital, BP 426, 67091 Strasbourg, France.
authors.forename: C
authors.initials: C
authors.lastname: Jahn
authors.affiliation: Service de néphrologie, nouvel hôpital civil, CHRU de Strasbourg, 1, place de l'Hôpital, BP 426, 67091 Strasbourg, France.
authors.forename: T
authors.initials: T
authors.lastname: Hannedouche
authors.affiliation: Service d'hypertension, maladies vasculaires et pharmacologie clinique, nouvel hôpital civil, CHRU de Strasbourg, 1, place de l'Hôpital, BP 426, 67091 Strasbourg, France.
authors.forename: D
authors.initials: D
authors.lastname: Stephan
mesh_terms: D005260:Female; D006801:Humans; D006973:Hypertension / Q000601:surgery*; D008875:Middle Aged; D012078:Renal Artery Obstruction / Q000209:etiology*; D013562:Sympathectomy / Q000009:adverse effects*
keywords: Dénervation rénale; Hypertension artérielle résistante; Neo-intimal thickening; Optical coherence tomography; Prolifération néo-intimale; Renal artery stenosis; Renal denervation; Resistant arterial hypertension; Sténose artérielle rénale; Sympathetic system; Système sympathique; Tomographie par cohérence optique