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Chronic hypertension invasive therapy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Robert G. Badgett, M.D.[2]

Renal artery vascular procedures

Renal artery vascular procedures

Renal artery bypassing and stenting of atherosclerotic disease have been proposed, studied, and eventual found to be not beneficial except in unusual circumstances.[1]

Renal artery denervation

Renal artery denervation

Renal denervation for resistant hypertension also has been found not to be beneficial.[2]

Central arteriovenous anastomosis

Central arteriovenous anastomosis

More recently central arteriovenous anastomosis has been studied and shows benefit in one trial.[3]

References

References

  1. GitHub Contributors. Stenting for renal artery stenosis to prevent cardiovascular complications: a living systematic review. GitHub. Available at https://github.com/openMetaAnalysis/Stenting-for-renal-artery-stenosis. Accessed July 23, 2017.
  2. Bhatt DL, Kandzari DE, O’Neill WW, D’Agostino R, Flack JM, Katzen BT; et al. (2014). “A controlled trial of renal denervation for resistant hypertension”. N Engl J Med. 370 (15): 1393–401. doi:10.1056/NEJMoa1402670. PMID 24678939. Review in: Evid Based Med. 2014 Dec;19(6):227-8
  3. Lobo MD, Sobotka PA, Stanton A, Cockcroft JR, Sulke N, Dolan E; et al. (2015). “Central arteriovenous anastomosis for the treatment of patients with uncontrolled hypertension (the ROX CONTROL HTN study): a randomised controlled trial”. Lancet. 385 (9978): 1634–41. doi:10.1016/S0140-6736(14)62053-5. PMID 25620016.

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