DR MILES DALBY

The kidneys, their nerve supply and the hormones they and the adrenal glands secrete are central to many causes of hypertension (high blood pressure). Most cases of high blood pressure can be managed with lifestyle manoeuvres and when needed, drug therapy. Sometimes however in spite of these strategies the blood pressure can remain very high. In such cases a technique called renal artery ablation may be helpful for some patients however the benefits are unclear and clinical trials are ongoing. This technique is performed through a catheter and involves delivering energy to the inside of the arteries supplying blood to the kidneys to interrupt the nerve supply to and from the kidneys.

Dr Dalby will discuss any proposed procedure with you including its attendant risks and benefits. When appropriate this will involve further discussion in a multidisciplinary meeting so that you may receive the best advice and reach a mutually agreeable management plan.