Role of adrenal vein sampling in primary aldosteronism: the Monash Health experience

2015 ◽  
Vol 45 (11) ◽  
pp. 1141-1146 ◽  
Author(s):  
J. Teng ◽  
M. E. Hutchinson ◽  
J. C. G. Doery ◽  
K. W. Choy ◽  
W. Chong ◽  
...  
Keyword(s):  
Primary Aldosteronism ◽  
Adrenal Vein ◽  
Adrenal Vein Sampling

scholarly journals Bilateral Aldosterone Suppression in Patients With Right Unilateral Primary Aldosteronism and Review of the Literature

2020 ◽  
Vol 4 (4) ◽  
Author(s):  
Sarah Ying Tse Tan ◽  
Keng Sin Ng ◽  
Colin Tan ◽  
Matthew Chuah ◽  
Meifen Zhang ◽  
...  
Keyword(s):  
Primary Aldosteronism ◽  
High Volume ◽  
Adrenal Vein ◽  
Aldosterone Secretion ◽  
Adrenal Vein Sampling ◽  
Tertiary Center ◽  
The Right ◽  
Repeat Sampling ◽  
Computed Tomography Venography

Abstract Introduction Adrenal vein sampling (AVS) identifies unilateral primary aldosteronism but may occasionally show paradoxically low aldosterone–cortisol ratios bilaterally. Postulated reasons include venous anomalies, fluctuating aldosterone secretion, or superselective cannulation. We report our findings in patients who underwent repeat AVS and reviewed the current literature. Methods We performed a retrospective observational study of patients undergoing AVS in an experienced high-volume tertiary center over a 5-year period. Results From 2015 to 2019, 61 patients underwent sequential cosyntropin-stimulated AVS and all had bilateral successful cannulation (100%). Four of 61 (6.6%) patients had bilaterally low aldosterone–cortisol ratios. Three patients underwent repeat AVS, with all 3 cases demonstrating right-sided lateralization and cure of disease postadrenalectomy. Right-sided disease was also more common in other reports. This may be due to inadvertent superselective cannulation of the short right adrenal vein, resulting in sampling of the adjacent normal gland. Cortisol results cannot detect this problem. In 1 patient, computed tomography venography excluded any accessory right adrenal veins. In another patient, repeat bilateral simultaneous unstimulated AVS was done, and measurements of metanephrines aided in accurately identifying right-sided lateralization. Conclusion In addition to technical difficulties in cannulating the right adrenal vein, we also have to avoid performing superselective cannulation inadvertently. In cases of inconclusive AVS, repeat sampling may identify patients with potentially curable unilateral primary aldosteronism. The role of corticotropin stimulation and metanephrines measurements during repeat AVS requires further study.

Role of adrenal vein sampling in primary aldosteronism: impact of different diagnostic criteria on subtype diagnosis

2013 ◽  
Author(s):  
Maria-Verena Cicala ◽  
Monica Salva ◽  
Diego Miotto ◽  
Beatrice Rubin ◽  
Raffaele Pezzani ◽  
...  
Keyword(s):  
Diagnostic Criteria ◽  
Primary Aldosteronism ◽  
Adrenal Vein ◽  
Adrenal Vein Sampling

scholarly journals Predicting Surgically Remedial Primary Aldosteronism: Role of Adrenal Scanning, Posture Testing, and Adrenal Vein Sampling

2003 ◽  
Vol 88 (8) ◽  
pp. 3637-3644 ◽  
Author(s):  
E. A. Espiner ◽  
D. G. Ross ◽  
T. G. Yandle ◽  
A. M. Richards ◽  
P. J. Hunt
Keyword(s):  
Primary Aldosteronism ◽  
Adrenal Vein ◽  
Adrenal Vein Sampling

Role of adrenal vein sampling in primary aldosteronism: Impact of imaging, localization, and age

2016 ◽  
Vol 113 (5) ◽  
pp. 532-537 ◽  
Author(s):  
Heather Wachtel ◽  
Salman Zaheer ◽  
Parth K. Shah ◽  
Scott O. Trerotola ◽  
Giorgos C. Karakousis ◽  
...  
Keyword(s):  
Primary Aldosteronism ◽  
Adrenal Vein ◽  
Adrenal Vein Sampling

11C-metomidate PET-CT in primary aldosteronism: five possible indications for a non-invasive alternative to adrenal vein sampling

2015 ◽  
Author(s):  
Andrew S Powlson ◽  
Olympia Koulouri ◽  
Elena Azizan ◽  
Carmela Maniero ◽  
Kevin Taylor ◽  
...  
Keyword(s):  
Primary Aldosteronism ◽  
Adrenal Vein ◽  
Adrenal Vein Sampling ◽  
Non Invasive ◽  
Pet Ct

Is the adrenal vein sampling the gold standard diagnostic test for the subtyping of primary aldosteronism?

2018 ◽  
Author(s):  
Ana Jimenez Portilla ◽  
Elena Mena Ribas ◽  
Antonia Barcelo Bennasar ◽  
Juan Manuel Martinez Ruitort ◽  
Cristina Alvarez Segurola ◽  
...  
Keyword(s):  
Diagnostic Test ◽  
Primary Aldosteronism ◽  
Gold Standard ◽  
Adrenal Vein ◽  
Adrenal Vein Sampling

Partially successful adrenal vein sampling can in some cases reveal the etiology of primary aldosteronism

2019 ◽  
Author(s):  
Karin Zibar Tomšić ◽  
Vilim Molnar ◽  
Tina Dušek ◽  
Ivana Kraljević ◽  
Polovina Tanja Škorić ◽  
...  
Keyword(s):  
Primary Aldosteronism ◽  
Adrenal Vein ◽  
Adrenal Vein Sampling

scholarly journals Non-sequential and non-stimulated bilateral adrenal vein sampling utility in primary aldosteronism: Case inform

2019 ◽  
Vol 12 ◽  
pp. 100049
Author(s):  
José Juan Ceballos-Macías ◽  
Jorge Alberto Flores-Real ◽  
Joel Vargas-Sánchez ◽  
Guillermo Ortega-Gutiérrez ◽  
Ramon Madriz-Prado ◽  
...  
Keyword(s):  
Primary Aldosteronism ◽  
Adrenal Vein ◽  
Adrenal Vein Sampling
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