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KMID : 0191120130280060951
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Journal of Korean Medical Science
2013 Volume.28 No. 6 p.951 ~ p.954
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Percutaneous Renal Sympathetic Denervation for the Treatment of Resistant Hypertension with Heart Failure: First Experience in Korea
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Yang Jeong-Hoon
Choi Seung-Hyuk
Gwon Hyeon-Cheol
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Abstract
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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.
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KEYWORD
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Resistant Hypertension, Renal Sympathetic Denervation
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