Adrenal venous sampling is crucial before an adrenalectomy whatever the adrenal-nodule size on computed tomography

Sarlon-Bartoli, G.; Michel, Nicolas; Taïeb, David; Mancini, Julien; Gonthier, Camille; Silhol, F.; Muller, Cyril; Bartoli, Jean-Michel; Sébag, F.; Henry, J. F.; Deharo, Jean‐Claude; Vaı̈sse, B.

doi:10.1097/hjh.0b013e32834666af

Cited by 34 publications

(19 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Eleven patients were younger than 40 years old, four had a unilateral nodule ≥1cm, but only 50% showed lateralization on AVS. These findings support the concerns raised by some authors 22,23 suggesting that mere imaging based lateralization must still be avoided.…”

Section: Discussionsupporting

confidence: 89%

Clinical impact of strict criteria for selectivity and lateralization in adrenal vein sampling

Gasparetto

Angle

Darvishi

et al. 2016

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 89%

Clinical impact of strict criteria for selectivity and lateralization in adrenal vein sampling

Gasparetto

Angle

Darvishi

et al. 2016

View full text Add to dashboard Cite

“…, and yet may demonstrate nonfunctioning nodules in the contralateral gland and apparently unilateral lesions in patients with BAH (198,445,449,497,588). Similar limitations apply to adrenal magnetic resonance imaging (92,290,439).…”

Section: E Imaging Approachesmentioning

confidence: 97%

Primary Aldosteronism: Changing Definitions and New Concepts of Physiology and Pathophysiology Both Inside and Outside the Kidney

Stowasser

Gordon

2016

Physiological Reviews

119

134

View full text Add to dashboard Cite

In the 60 years that have passed since the discovery of the mineralocorticoid hormone aldosterone, much has been learned about its synthesis (both adrenal and extraadrenal), regulation (by renin-angiotensin II, potassium, adrenocorticotrophin, and other factors), and effects (on both epithelial and nonepithelial tissues). Once thought to be rare, primary aldosteronism (PA, in which aldosterone secretion by the adrenal is excessive and autonomous of its principal regulator, angiotensin II) is now known to be the most common specifically treatable and potentially curable form of hypertension, with most patients lacking the clinical feature of hypokalemia, the presence of which was previously considered to be necessary to warrant further efforts towards confirming a diagnosis of PA. This, and the appreciation that aldosterone excess leads to adverse cardiovascular, renal, central nervous, and psychological effects, that are at least partly independent of its effects on blood pressure, have had a profound influence on raising clinical and research interest in PA. Such research on patients with PA has, in turn, furthered knowledge regarding aldosterone synthesis, regulation, and effects. This review summarizes current progress in our understanding of the physiology of aldosterone, and towards defining the causes (including genetic bases), epidemiology, outcomes, and clinical approaches to diagnostic workup (including screening, diagnostic confirmation, and subtype differentiation) and treatment of PA.

show abstract

“…Adrenal vein sampling (AVS) is considered the ''gold standard'' for differentiating unilateral and bilateral hyperaldosteronism [1][2][3][4][5]. Although it is recommended by the guidelines of the Endocrine Society [6], AVS is a technically challenging procedure with a strongly experience-dependent success rate [7,8].…”

Section: Introductionmentioning

confidence: 99%

“…Although it is recommended by the guidelines of the Endocrine Society [6], AVS is a technically challenging procedure with a strongly experience-dependent success rate [7,8]. Wide ranges of success rates-30 to C90 %-have been reported [1][2][3][4][5][7][8][9][10][11].…”

Section: Introductionmentioning

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

View full text Add to dashboard Cite

show abstract

Adrenal venous sampling is crucial before an adrenalectomy whatever the adrenal-nodule size on computed tomography

Abstract: AVS is essential to diagnose the unilateral hypersecretion of aldosterone, even in patients in whom a unilateral macronodule is detected by CT, to avoid unnecessary surgery.

Cited by 34 publications

References 19 publications

Clinical impact of strict criteria for selectivity and lateralization in adrenal vein sampling

Clinical impact of strict criteria for selectivity and lateralization in adrenal vein sampling

Primary Aldosteronism: Changing Definitions and New Concepts of Physiology and Pathophysiology Both Inside and Outside the Kidney

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

Contact Info

Product

Resources

About