The patient should have sustained high blood pressure despite medical management based on the following:
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Patient Status
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Systolic Blood Pressure (SBP) in Clinic
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Daytime Average SBP by Ambulatory Monitoring
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non-diabetic
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>= 160 mm Hg
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> 150 mm Hg
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diabetic
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>= 150 mm Hg
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> 140 mm Hg
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The patient meets all of the following:
(1) The patient is taking 3 or more antihypertensive medicines that is an accepted regimen for resistant hypertension.
(2) The patient is compliant (with drugs and diet).
(3) The patieint does not have white coat hypertension.
(4) The patient does not have a secondary cause for the hypertension.
(5) The patient has suitable renal arteries – all of the following:
(5a) No significant stenosis or abnormality.
(5b) Diameter > 4 mm in diameter.
(5c) Length > 20 mm.
(5d) Ideally a single main renal artery to each kidney.
(6) The estimated GFR > 45 mL per min per 1.73 square meters BSA OR a nephrologist has cleared the patient for the procedure.
(7) The patient gives informed consent.
