“One-Stop” Simultaneous TEVAR and Renal Denervation for Stanford Type B Aortic Dissection Complicated by Refractory Hypertension

BACKGROUND: The management of Stanford type B aortic dissection complicated by refractory hypertension remains clinically challenging. FIH SUMMARY: A 56-year-old male with type B aortic dissection and refractory hypertension underwent a "one-stop" procedure combining thoracic endovascular aortic repair (TEVAR) and bilateral renal denervation (RDN). Despite complex anatomy involving the right renal artery (Nagamine III-a), RDN was successfully performed. At 3-month follow-up, blood pressure improved from 177/111 mm Hg to 129/83 mm Hg with stable aortic morphology. DISCUSSION: RDN addresses sympathetic hyperactivity while TEVAR provides mechanical stabilization, effectively breaking the hypertension-dissection cycle. Precise anatomical assessment is critical for RDN feasibility in dissected renal arteries. NOVELTY: This report demonstrates the feasibility of a single-session "one-stop" TEVAR and RDN, even when the dissection involves the renal artery origins. TAKE-HOME MESSAGE: Meticulous preoperative anatomical assessment using the Nagamine classification and multidisciplinary team collaboration is essential for ensuring procedural safety and efficacy.