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  • Title: Carotid Baroreceptor Stimulation and Arteriovenous Shunts for Resistant Hypertension.
    Author: Paivanas N, Bisognano JD, Gassler JP.
    Journal: Methodist Debakey Cardiovasc J; 2015; 11(4):223-7. PubMed ID: 27057291.
    Abstract:
    Pharmacologic therapy for hypertension is effective for the majority of patients with hypertension, but there is a subset of the population with treatment-resistant hypertension who cannot achieve their blood pressure goal despite taking multiple medications. Since these patients are at increased risk of cardiovascular disease and end-organ damage, additional therapies must be considered. This review discusses several novel interventional therapies-including baroreflex activation therapy, baroreceptor stenting, and creation of an arteriovenous shunt-that may provide alternative options for blood pressure control in those with treatment-resistant hypertension. All of these therapies remain investigational, and each has its own strengths and weaknesses that will be critical to assess as they come to market.
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