Will Renal denervation (RDN) help my CKD 4 by lowering eGFR loss rate?

Posted by stuartbell @stuartbell, Jun 10 8:44am

I am considering Renal denervation to reduce my BP, currently in the 130 to 140 mm over 65 to 70 range.

Some studies say the procedure will reduce the rate of eGRR decline.

I take 30 mg Lisinopril and 5 g Doxazosin daily, exercise routine ad am in otherwise good health with a BMI of 24.,

Interested in more discussions like this? Go to the Chronic Kidney Disease (CKD) Support Group.

Ginger, Volunteer Mentor | @gingerw | Jun 10 11:33am

@stuartbell Here is what Cleveland Clinic has to say about renal denervation: https://my.clevelandclinic.org/health/procedures/renal-denervation

As you can see, it is primarily used for reducing blood pressure issues, not maintaining/improving eGFR numbers. That might be a side effect, however. There is always a chance of infection or complications in any procedure that is done. A person needs to weigh those risks carefully, given their own situation.

Have you spoken to your nephrologist and primary care doctors about this? Do they consider your current blood pressure monitoring regime to be enough, or might they want to advise changing things up [diet, medication, exercise, etc]? What are their thoughts on the denervation given your case?
Ginger

Cheryl, Volunteer Mentor | @cehunt57 | Jun 10 12:38pm

Since hypertension (high blood pressure) is one of the leading causes of kidney troubles, I can understand why you might want to lower yours. Traditionally medication is the way to go. But frequently this requires quite a bit of tinkering to find the most effective combination of medications and doses. If you ask your providers about Renal Denervation (RDN), you might also ask about if there are other medications to consider.

stuartbell | @stuartbell | Jun 11 6:46am

In reply to @gingerw "@stuartbell Here is what Cleveland Clinic has to say about renal denervation: https://my.clevelandclinic.org/health/procedures/renal-denervation As you can..." + (show)

@gingerw I was a patient at cleveland clinic for about four years during the time I was CKD3.

I didn’t know if this procedure and my blood pressure was elevated despite medication, probably because I didn’t understand the diet implications as well as I do now.

My nephrologist at that point, as all nephrologist, I’ve trusted over the past 12 years, has said nothing about this procedure or any medication, but has explained dialysis to me with some.

So far as I could tell that are willing to intervene and delay dialysis are very rare and I have yet to find one who will work with me on an extended basis.

Since I came to this conclusion, I have lost over 40 pounds, begun vigorous exercise after years of not being able to move around, and stabilized and slightly improve my GFR using techniques that any of the nephrologist I’ve seen over the years could’ve shared they have not been in the business of selling dialysis.

Ginger, Volunteer Mentor | @gingerw | 5 days ago

In reply to @stuartbell "@gingerw I was a patient at cleveland clinic for about four years during the time I..." + (show)

@stuartbell The nephrologists I have had over the years never presented like they were "in the business of selling dialysis". They always had my overall health at heart, and I discussed ways to improve/slow down failing kidney function. Diet has always been the main component, from a patient's involvement. We have control of what we eat, and it is certainly in our best interest to research what is going to be the most meaningful for us as an individual. In my circumstance, not only is there a healthy renal diet to consider, but there is also gout and cardiac food plans to add in.

Healthy food diet for you, moderate exercise, adequate rest, stress-free as possible/managed and compliance with medical professionals' directions all may help you tremendously.
Ginger