scholarly journals C-Arm Computed Tomography-Assisted Adrenal Venous Sampling Improved Right Adrenal Vein Cannulation and Sampling Quality in Primary Aldosteronism

2018 ◽  
Vol 33 (2) ◽  
pp. 236 ◽  
Author(s):  
Chung Hyun Park ◽  
Namki Hong ◽  
Kichang Han ◽  
Sang-Wook Kang ◽  
Cho Rok Lee ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Primary Aldosteronism ◽  
Adrenal Vein ◽  
Adrenal Venous Sampling ◽  
Venous Sampling ◽  
Vein Cannulation

scholarly journals Non-stimulated adrenal venous sampling using Dyna computed tomography in patients with primary aldosteronism

2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Chin-Chen Chang ◽  
Bo-Ching Lee ◽  
Kao-Lang Liu ◽  
Yeun-Chung Chang ◽  
Vin-Cent Wu ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Primary Aldosteronism ◽  
Adrenal Venous Sampling ◽  
Venous Sampling

scholarly journals Adrenal Venous Sampling in Primary Aldosteronism: The Usefulness of Contralateral Suppression Index

2019 ◽  
Vol 2019 ◽  
pp. 1-4 ◽  
Author(s):  
Natalia Treistman ◽  
Aline Barbosa Moraes ◽  
Stéphanie Cozzolino ◽  
Patrícia de Fatima dos Santos Teixeira ◽  
Leonardo Vieira Neto
Keyword(s):  
Primary Aldosteronism ◽  
Vena Cava ◽  
Adrenal Vein ◽  
Adrenal Venous Sampling ◽  
Venous Sampling ◽  
Successful Cannulation ◽  
Contralateral Suppression ◽  
The Right ◽  
Cortisol Ratio ◽  
Suppression Index

Adrenal venous sampling (AVS) is the gold standard test to differentiate the unilateral from the bilateral form in patients with primary aldosteronism (PA) although it may be a difficult procedure, especially the successful cannulation of the right adrenal vein. In this report, we describe a 49-year-old female patient diagnosed with PA, after investigating resistant hypertension and refractory hypokalemia. Abdominal computed tomography scan revealed a 2.5 cm adenoma on the right adrenal vein. AVS was performed under cosyntropin infusion. Aldosterone and cortisol concentrations were obtained from the right and left adrenal veins and inferior vena cava (IVC). Cortisol on each adrenal vein divided by cortisol on IVC confirmed successful cannulation of the left side only, which makes it impossible to calculate the lateralization index (LI). From the data on the left adrenal vein and IVC, the aldosterone-to-cortisol ratio divided by the IVC aldosterone-to-cortisol ratio was less than 1.0, suggesting that the left adrenal vein was suppressed with the excess aldosterone originating from the contralateral side (contralateral suppression index (CSI)). Right adrenalectomy was performed; postoperative hypoaldosteronism was confirmed. This report highlights the importance of CSI obtained in AVS when technical difficulties occur making it impossible to obtain LI, which is most commonly used to decide between surgical and clinical management of PA.

scholarly journals Computed Tomography and Adrenal Venous Sampling in the Diagnosis of Unilateral Primary Aldosteronism

Hypertension ◽  
2018 ◽  
Vol 72 (3) ◽  
pp. 641-649 ◽  
Author(s):  
Tracy A. Williams ◽  
Jacopo Burrello ◽  
Leonardo A. Sechi ◽  
Carlos E. Fardella ◽  
Joanna Matrozova ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Primary Aldosteronism ◽  
Adrenal Venous Sampling ◽  
Venous Sampling

scholarly journals Diagnosing unilateral primary aldosteronism - comparison of a clinical prediction score, computed tomography and adrenal venous sampling

2013 ◽  
Vol 81 (1) ◽  
pp. 25-30 ◽  
Author(s):  
W. C. Candy Sze ◽  
Lip Min Soh ◽  
Jeshen H. Lau ◽  
Rodney Reznek ◽  
Anju Sahdev ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Primary Aldosteronism ◽  
Prediction Score ◽  
Adrenal Venous Sampling ◽  
Clinical Prediction ◽  
Venous Sampling

Diagnostic utility of data from adrenal venous sampling for primary aldosteronism despite failed cannulation of the right adrenal vein

Surgery ◽  
2016 ◽  
Vol 159 (1) ◽  
pp. 267-274 ◽  
Author(s):  
Jesse D. Pasternak ◽  
Irene Epelboym ◽  
Natalie Seiser ◽  
Matt Wingo ◽  
Max Herman ◽  
...  
Keyword(s):  
Primary Aldosteronism ◽  
Adrenal Vein ◽  
Adrenal Venous Sampling ◽  
Diagnostic Utility ◽  
Venous Sampling ◽  
The Right

Primary aldosteronism subtype discordance between computed tomography and adrenal venous sampling

2019 ◽  
Vol 42 (12) ◽  
pp. 1942-1950 ◽  
Author(s):  
Daisuke Aono ◽  
Mitsuhiro Kometani ◽  
Shigehiro Karashima ◽  
Mikiya Usukura ◽  
Yuko Gondo ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Primary Aldosteronism ◽  
Adrenal Venous Sampling ◽  
Venous Sampling
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