Renal Denervation Re-Emerges for Resistant Hypertension
Автор: DocWire
Загружено: 2025-12-29
Просмотров: 46
Описание: In this expert discussion, Dr. Hady Lichaa explains how renal denervation has re-entered modern hypertension care as a safe, evidence-backed option for carefully selected patients with resistant hypertension or medication intolerance. Advances in technique—targeting distal renal segments and accessory renal arteries—have translated into consistent, clinically meaningful blood pressure reductions of ~10 mm Hg within six months and up to 20 mm Hg at two years, with a very low complication rate across thousands of trial participants. Lichaa emphasizes that renal denervation is not a replacement for lifelong pharmacotherapy, but rather an adjunct that can reduce pill burden and side effects, particularly in patients driven by sympathetic overactivity. With FDA-approved technologies now available, the main remaining hurdles are insurance coverage, patient expectations, and the realities of performing an invasive procedure in individuals with severe, uncontrolled blood pressure.
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