Absolute ethanol renal angioinfarction for control of hypertension
Six patients (11 renal units) underwent ethanol renal angioinfarction for medically uncontrollable hypertension. The mean preablation blood pressure was 1751112 mm Hg despite antihypertensive medications. Five of the patients demonstrated elevated renal veir renin levels prior to angioinfarction. Hy...
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Published in | Urology (Ridgewood, N.J.) Vol. 33; no. 2; pp. 153 - 158 |
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Main Authors | , , , |
Format | Journal Article Conference Proceeding |
Language | English |
Published |
New York, NY
Elsevier Inc
01.02.1989
Elsevier Science |
Subjects | |
Online Access | Get full text |
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Summary: | Six patients (11 renal units) underwent ethanol renal angioinfarction for medically uncontrollable hypertension. The mean preablation blood pressure was 1751112 mm Hg despite antihypertensive medications. Five of the patients demonstrated elevated renal veir renin levels prior to angioinfarction. Hypertension was improved in all 6 patients, during a mean follow-up period of fifty-one months. Systemic hypertension was completely eliminated in 4 patients. Two patients continue to require antihypertensive medication to control their hypertension. There were no major complications directly related to intra-arterial injection of ethanol. Transcatheter renal ablation employing intra-arterial injection of absolute ethanol for control of severe hypertension appears to be a safe and efficacious procedure. It should be considered an alternative to nephrectomy in selected high-risk patients. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 0090-4295 1527-9995 |
DOI: | 10.1016/0090-4295(89)90018-6 |