Another Complex Cardiac Intervention Successfully Performed at Paras Health Panchkula

Another Complex Cardiac Intervention Successfully Performed at Paras Health Panchkula

Advanced renal denervation performed on a 77-year-old patient with severe resistant hypertension; blood pressure reduced from above 200/110 mmHg to around 160/95 mmHg

Panchkula 26 August ( Ranjeet Singh Dhaliwal ) : Doctors at Paras Health Panchkula successfully performed an advanced Renal Denervation (RDN) procedure on a 77-year-old man with severely resistant hypertension. His blood pressure had remained above 200/110 mmHg for nearly two years despite seven anti-hypertensive medicines at full doses. Following the procedure, his blood pressure reduced to around 160/95 mmHg while on five medications, with further improvement expected over time.

The procedure was performed by a team led by Dr. (Maj. Gen.) Naveen Aggarwal, Chairman – Structural Heart Disease & EP Studies, Paras Health Panchkula. The intervention was completed on both renal arteries under conscious sedation in less than an hour. The patient was discharged after a one-day hospital stay. A resident of Nahan, Himachal Pradesh, the patient also had diabetes and early Parkinsonism. Despite multiple anti-hypertensive medicines, his blood pressure remained uncontrolled. Following detailed evaluation, the medical team found him suitable for renal denervation due to severe resistant hypertension and inadequate response to medication.

Dr. (Maj. Gen.) Naveen Aggarwal, Chairman – Structural Heart Disease & EP Studies, Paras Health Panchkula, said, “Renal denervation is an advanced treatment option for carefully selected patients whose blood pressure remains uncontrolled despite appropriate medical therapy. In this case, the patient’s blood pressure had remained above 200/110 mmHg for nearly two years despite seven medicines. His early response has been encouraging, with a significant reduction in blood pressure and a lower medication requirement. Medication and lifestyle changes remain the first line of treatment, while renal denervation can provide an additional option in selected cases.”

Renal denervation is a minimally invasive procedure in which a specialised catheter is guided through an artery to the renal arteries supplying the kidneys. Radiofrequency energy is then delivered at multiple points to reduce the activity of overactive nerves around the arteries, which play a role in blood pressure regulation. RDN is considered only after other possible causes of hypertension, such as renal artery narrowing, hormonal disorders and other underlying conditions, have been evaluated. It may be considered for appropriately selected patients whose blood pressure remains uncontrolled despite suitable medical treatment. The patient is being followed up monthly and has been advised to maintain a biweekly home blood pressure record. The treating team expects further improvement over time, with medication requirements to be reviewed according to his clinical response.

Dr. Pankaj Mittal, Facility Director, Paras Health Panchkula, said, “The successful completion of this complex intervention reflects our commitment to providing specialised and evidence-based care for patients with difficult-to-control hypertension. Renal denervation can offer an additional treatment option for appropriately evaluated patients when medicines do not provide adequate control. Careful patient selection, thorough evaluation and regular follow-up remain essential.” The successful intervention highlights Paras Health Panchkula’s advanced cardiac care capabilities and its ability to provide minimally invasive treatment options for carefully selected patients with resistant hypertension.