Adrenal Vein Sampling

Kahn, S. Lowell; Angle, John F.

doi:10.1053/j.tvir.2010.02.006

Cited by 50 publications

(38 citation statements)

References 48 publications

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“…The standard clinical protocol for AVS has been discussed previously by several investigators [18][19][20]. We incorporated CBCT imaging into the AVS procedure for additional information on adrenal vein location.…”

Section: Avs Proceduresmentioning

confidence: 99%

Image Registration of Cone-Beam Computer Tomography and Preprocedural Computer Tomography Aids in Localization of Adrenal Veins and Decreasing Radiation Dose in Adrenal Vein Sampling

Busser

Arntz

Jenniskens

et al. 2014

Cardiovasc Intervent Radiol

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Section: Avs Proceduresmentioning

confidence: 99%

Image Registration of Cone-Beam Computer Tomography and Preprocedural Computer Tomography Aids in Localization of Adrenal Veins and Decreasing Radiation Dose in Adrenal Vein Sampling

Busser

Arntz

Jenniskens

et al. 2014

Cardiovasc Intervent Radiol

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“…AVS can be a difficult procedure, especially when cannulation of right adrenal vein is required (1)(2)(3). The right central adrenal vein joins to the right posterior quadrant of the inferior vena cava (IVC) in most cases.…”

mentioning

confidence: 99%

CT during Arteriography to Visualize the Right Adrenal Vein for Adrenal Venous Sampling

Oguro

Nakatsuka

Yashiro

et al. 2015

Journal of Vascular and Interventional Radiology

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“…Adrenal vein sampling is the gold standard for localising aldosterone-secreting tumours for possible adrenalectomy 1. Complications include failure of canalisation of the right adrenal vein, haematoma, infarction, adrenal vein thrombosis and perforation 2.…”

Section: Descriptionmentioning

confidence: 99%

Adrenal haematoma as a complication of adrenal vein sampling

Senussi

Alwakkaf

et al. 2013

BMJ Case Reports

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DESCRIPTIONA 48-year-old man with poorly controlled hypertension presented with a 1-day history of several episodes of epistaxis. The patient had a blood pressure of 190/100 mm Hg. Initial laboratory studies revealed mild acute renal insufficiency, hypokalaemia and metabolic alkalosis.Diagnostic studies were performed for secondary causes of hypertension. Plasma metanephrine levels were within normal limits. Plasma aldosterone (40 ng/dl) to plasma renin (0.12 ng/ml/h) ratio was markedly elevated, which was suggestive of primary aldosteronism. Enhanced CT scan of the abdomen showed a left adrenal gland nodule with a normal appearing right adrenal gland. Adrenal vein sampling was performed to confirm the presence of a unilateral aldosterone-secreting tumour for possible unilateral adrenalectomy. Both adrenal veins were successfully sampled. Before the procedure was complete, the patient reported an acute onset of moderate right-sided chest pain.The procedure was terminated. A 12-lead ECG revealed normal sinus rhythm and serial troponins were negative. A CT scan of the abdomen revealed a 3 cm smooth ovoid dense mass at the site of the right adrenal gland consistent with an adrenal haematoma (figure 1). The patient symptomatically improved with analgesics, intravenous fluids, and did not need any surgical intervention. Blood pressure control was achieved with spironolactone, nifedipine and labetalol (figure 1).Adrenal vein sampling is the gold standard for localising aldosterone-secreting tumours for possible adrenalectomy.

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Adrenal Vein Sampling

Cited by 50 publications

References 48 publications

Image Registration of Cone-Beam Computer Tomography and Preprocedural Computer Tomography Aids in Localization of Adrenal Veins and Decreasing Radiation Dose in Adrenal Vein Sampling

Image Registration of Cone-Beam Computer Tomography and Preprocedural Computer Tomography Aids in Localization of Adrenal Veins and Decreasing Radiation Dose in Adrenal Vein Sampling

CT during Arteriography to Visualize the Right Adrenal Vein for Adrenal Venous Sampling

Adrenal haematoma as a complication of adrenal vein sampling

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