TY - CHAP M1 - Book, Section TI - Endovascular Approaches to Hypertension Management: Renal Artery Denervation and Carotid Sinus Modification A1 - Narins, Craig R. A1 - Krishnamoorthy, Vijay K. A2 - Baliga, R. R. A2 - Lilly, Scott M. A2 - Abraham, William T. Y1 - 2018 N1 - T2 - Color Atlas and Synopsis of Interventional Cardiology AB - A 52-year-old man with hypertension for the past decade presented with poorly controlled blood pressure despite increasing doses of 4 antihypertensive medications including a diuretic, angiotensin-­converting enzyme inhibitor, β-blocker, and calcium channel blocker. Office-based blood pressure measurements remained in the 160 to 180/100 to 110 mm Hg range despite escalation of medical therapy over a several-month period. Serum and urine testing revealed no evidence of hyperaldosteronism or pheochromocytoma. Renal artery ultrasonography demonstrated moderately elevated systolic flow velocities (295 cm/s) near the ostium of the left renal artery with an elevated renal resistive index; however, renal artery angiography was normal (Figure 38-1). What other treatment options might be ­considered for this patient with resistant hypertension? SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/18 UR - accesscardiology.mhmedical.com/content.aspx?aid=1160208174 ER -