Nursing for one patient with resistant hypertension underwent bilateral renal denervation therapy by cryofocus cryoablation system

Abstract

Objective To report the nursing care for a patient with resistant hypertension underwent bilateral renal denervation therapy by cryofocus cryoablation system. Methods We summarized the nursing care work, which included the operation preparation, observation points, service during the operation, and the essential instruction for inpatient care and future follow-up, for one case of patient with resistant hypertension underwent bilateral renal denervation through the femoral pathway in February 2016. Results The whole operation spent 60 minutes, and after operation, the patient′s blood pressure decreased from 200/110 mmHg to (152.38±24.53)/ (83.65±12.71) mmHg. The operation was successful and the patient was discharged 3 days after operation. In the 3-month follow-up, the 24-hour mean blood pressure was 128/70 mmHg, without the presence of operation-related or nursing-related complications. Conclusions The perioperative nursing care includes the good preoperative preparation, precise nursing during the operation, and further intensive observation, which would facilitate the operation process, avoid the risk, and guarantee the operation quality. Key words: Cryoablation; Renal sympathetic nerve; Interventional therapy; Nursing