this presentation discuss the unusual solutions and treatments of secondary hypertension using interventions when medical treatment fails

3. 30%

4. renal parenchymal disease
• Fluid management of hypovolemia
• Protein restriction
• Life style modification
• Treat urinary obstruction

5. • dialysis should be at least three times a week
• total duration should be at least 12 hours per
week
• Special protocol for ultrafiltration of more fluid
and usage of less intradialytic sodium must be
acquired
• Inter dialysis Weight gain that must not exceed
0.8 kg/ day
• Nocturnal session found to better control BP
with less medications
EBPG guideline on dialysis strategies. Nephrol Dial
Transplant 22 [Suppl 2]: ii5–ii21, 2007

6. Renal artery stenosis (renovascular causes)
Renal artery stenting
Aorto-renal bypass

9. When revascularization may be more beneficial
• Patients with recurrent flash pulmonary edema
• Failure or intolerance to optimal medical treatment
• Refractory hypertension
• Unexplained, progressive decline in renal function
• Recent initiation of dialysis in a patient with suspected renal artery
stenosis
• An acute increase in creatinine after medical therapy and in patients
with a renal resistive index of less than 80 mmHg on Doppler

20. Surgical or laparoscopic
treatment

21. Thank you so much