Procedures and devices to treat resistant hypertension in chronic kidney disease

Rama Dilip Gajulapalli; Johnny Chahine; Florian Rader; Ashish Aneja

doi:10.3949/ccjm.87a.19099

Procedures and devices to treat resistant hypertension in chronic kidney disease

Cleve Clin J Med. 2020 Jun 30;87(7):435-443. doi: 10.3949/ccjm.87a.19099.

Authors

Rama Dilip Gajulapalli¹, Johnny Chahine², Florian Rader³, Ashish Aneja⁴

Affiliations

¹ Department of Hospital Medicine, Cleveland Clinic; Clinical Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH GAJULAR@ccf.org.
² Resident Fellow, Cleveland Clinic.
³ The David Geffen School of Medicine, University of California, Los Angeles.
⁴ Heart and Vascular Center, MetroHealth, Cleveland; Associate Professor, Case Western Reserve University School of Medicine, Cleveland, OH.

PMID: 32636194
DOI: 10.3949/ccjm.87a.19099

Abstract

Treatment of resistant hypertension is a challenge, especially in patients who have chronic kidney disease. The choice of medications may be limited in this group, making the possibility of device-based therapies attractive. We explore 4 devices and procedures available to treat this vexing issue.

Publication types

Review

MeSH terms

Arteriovenous Shunt, Surgical / instrumentation
Arteriovenous Shunt, Surgical / methods*
Baroreflex
Blood Pressure
Catheter Ablation / instrumentation
Catheter Ablation / methods*
Humans
Hypertension / etiology
Hypertension / therapy*
Iliac Artery / surgery
Iliac Vein / surgery
Pacemaker, Artificial
Percutaneous Coronary Intervention / instrumentation
Percutaneous Coronary Intervention / methods*
Renal Artery / surgery
Renal Insufficiency, Chronic / complications*
Renal Insufficiency, Chronic / physiopathology
Stents
Treatment Outcome