Should my patients with hypertension be referred for renal denervation?

Should my patients with hypertension be referred for renal denervation? Q:Maybe.Select patients should be referred after informed and shared decision-making.Patients with treatment-resistant hypertension or intolerance to further medication adjustments may be suitable candidates for renal denervation, as it demonstrates a blood pressure (BP)-lowering effect of 5 to 7 mm Hg, comparable to the effect of adding another antihypertensive agent (Figure 1). [1][2]2][3][4][5] Two renal denervation systems-ultrasound and radiofrequency based-are currently approved by the US Food and Drug Administration. 6,7The European Society of Hypertension updated guidelines 8 state that renal denervation is a consideration for true treatmentresistant hypertension and for patients with drug intolerances and an estimated glomerular fi ltration rate (eGFR) greater than 40 mL/minute/1.73m 2 .