Renal Denervation for Blood Pressure Control
For a long time, the only way to treat high blood pressure (HBP) was through lifestyle changes, like diet and exercise, and medications. Today, there is an innovative approach that complements typical treatments, renal denervation.
The health risks of HBP
HBP, also known as hypertension, often has no warning signs — so you could have it and not know it.
- Symptoms of HBP (if they occur) can be mild or severe, including headaches, nosebleeds, blurred vision, and difficulty breathing. Symptoms of severe HBP include severe chest pain, headache with confusion and blurred vision, nausea and vomiting, and anxiety.
- If you have HBP, your heart works harder, which can raise your risk of heart attacks, strokes, heart failure, and kidney failure. These risks can be very serious — especially if your HBP is left untreated.
- U.S. guidelines from the American Heart Association define HBP as any value greater than 130/80 mmHg.
Who has high blood pressure?
• > 1.2 billion people worldwide
• ~50% of all adults in the U.S.
• ~60% of Black adults in the U.S.
• ~46% of adults with high blood pressure are unaware they have it.
Treat your HBP safely and effectively
The renal denervation procedure is a minimally invasive treatment designed to complement your existing efforts to manage HBP. It works alongside the lifestyle changes and medications you may already be using to help control your blood pressure more effectively. Your doctor might refer to the renal denervation procedure as a complementary, adjunctive, or supplemental treatment.
If you would like more information or to request an appoint please fill out our form here:
Meet our staff
Thomas Todoran MD
Professor of Medicine and Surgery
VA Charleston health care
Dr. Thomas Todoran is a board certified Interventional Cardiologist and Professor of Medicine and Surgery at the Ralph H. Johnson VA Healthcare System.
Medical School: Indiana University School of Medicine
Residency: Duke Hospital
Fellowship: Brigham and Women's Hospital - Boston, MA
Board Certification: Yes - Cardiovascular Diseases
My main clinical service is interventional cardiology and i preform renal denervation for treatment of resistant hypertension.
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James Misplay RN
MSN, RN Assistant Manager/Renal Denervation Coordinator CCL
VA Charleston health care
Email: james.misplay@va.gov
James Misplay is the Assistant Manager of the Cardiac Cath Lab and Renal Denervation Coordinator. I have had the pleasure of working closely with Dr. Todoran to develop our new innovative alternative anti-hypertensive treatment program and procedure called Renal Denervation. We have partnered with Home Health, Cardiology, and the PharmD department to create a referral network, screening process, and post procedure follow-up process that will allow the Ralph H. Johnson VA Medical center to offer this alternative anti-hypertensive treatment for our Veterans.
I am not currently involved research at this time, but throughout my almost 10 years at VA, I have participated in multiple research studies including:
Unprotected Left Main Coronary Artery PCI Without Mechanical Circulatory Support: A Single-Center Veterans Affairs Experience Multi-Center Contrast-Induced Nephropathy After Cardiac Catheterization study.
In my free time I love boating, fishing, and spending time with my Family and Friends
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