Resistant hypertension in atherosclerotic renovascular disease

Abstract

Resistant hypertension requires careful evaluation for cause assessment. In this report we present a case of renovascular hypertension due to atherosclerotic renal artery stenosis, with particular regard for diagnostic options and therapeutic strategies (medical therapy versus endovascular angioplasty). This case underlines the importance of an adequate evaluation of the patient’s characteristics (i.e age and comorbidities) in order to choose the right strategy.

Keywords

• Resistant hypertension
• Atherosclerotic renal artery stenosis
• Endovascular angioplasty
• Stenting