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CardioVascular and Interventional Radiology

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01-04-2014 | Technical Note

Percutaneous Computer Tomography-Guided Ethanol Sympathicolysis for the Treatment of Resistant Arterial Hypertension

Authors: F. Streitparth, B. Gebauer, P. Nickel, P. Reinke, P. Freyhardt, G. Wieners, B. Hamm, R. W. Günther

Published in: CardioVascular and Interventional Radiology | Issue 2/2014

Abstract

Purpose

As an alternative to catheter-based radiofrequency (RF) ablation, renal sympathicolysis can also be achieved by image-guided percutaneous injection of ethanol around the renal artery.

Materials and Methods

We report the case of a 50-year-old man with refractory hypertension and end-stage renal failure of unclear etiology who was treated with computed tomography-guided percutaneous periarterial ethanol sympathicolysis.

Results

The procedure was painless. The patient’s BP decreased within 6 days from a baseline value of 172/84 mm Hg (1 week before treatment) to a sustained decreased value of 143/70 mm Hg 1 month after intervention, i.e., a decrease by 29/14 mm Hg. The patient’s hypertension-related headache resolved.

Conclusion

Image-guided periarterial ethanol injection for renal sympathetic denervation in a patient with drug-resistant hypertension is feasible. We provide a detailed description of this new interventional procedure and discuss its potential advantages compared with catheter-based RF ablation.

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Title: Percutaneous Computer Tomography-Guided Ethanol Sympathicolysis for the Treatment of Resistant Arterial Hypertension
Authors: F. Streitparth
B. Gebauer
P. Nickel
P. Reinke
P. Freyhardt
G. Wieners
B. Hamm
R. W. Günther
Publication date: 01-04-2014
Publisher: Springer US
Published in: CardioVascular and Interventional Radiology / Issue 2/2014
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-014-0850-0

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Percutaneous Computer Tomography-Guided Ethanol Sympathicolysis for the Treatment of Resistant Arterial Hypertension

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Materials and Methods

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Conclusion

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