Cavernous Sinus Venography

SHIU, PHILLIP C.; Hanafee, William N.; Wilson, George; Rand, Robert W.

doi:10.2214/ajr.104.1.57

Cited by 154 publications

(66 citation statements)

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“…Shiu et al originally classified 4 variants. 56 In Type I, the most common variant, the petrosal sinus drains directly into the internal jugular vein; in Type II, the petrosal sinus drains into the anterior condylar vein, thus into both the jugular vein and the vertebral venous plexus; in Type III, the petrosal sinus is plexiform, and a network of small vessels drains into the internal jugular vein and the vertebral venous plexus; in Type IV, the petrosal sinus drains directly into the vertebral venous plexus via the condylar veins, without connection to the jugular vein. This classification was subsequently modified, and the most recent version describes 6 variants, with emphasis on the petrosal-jugular junction.…”

Section: Evidence On the Use Of Petrosal Sinus Samplingmentioning

confidence: 99%

The role of inferior petrosal sinus sampling in ACTH-dependent Cushing's syndrome: review and joint opinion statement by members of the Italian Society for Endocrinology, Italian Society for Neurosurgery, and Italian Society for Neuroradiology

Giraldi

Cavallo

Tortora

et al. 2015

FOC

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In the management of adrenocorticotropic hormone (ACTH)–dependent Cushing's syndrome, inferior petrosal sinus sampling (IPSS) provides information for the endocrinologist, the neurosurgeon, and the neuroradiologist. To the endocrinologist who performs the etiological diagnosis, results of IPSS confirm or exclude the diagnosis of Cushing's disease with 80%–100% sensitivity and over 95% specificity. Baseline central-peripheral gradients have suboptimal accuracy, and stimulation with corticotropin-releasing hormone (CRH), possibly desmopressin, has to be performed. The rationale for the use of IPSS in this context depends on other diagnostic means, taking availability of CRH and reliability of dynamic testing and pituitary imaging into account. As regards the other specialists, the neuroradiologist may collate results of IPSS with findings at imaging, while IPSS may prove useful to the neurosurgeon to chart a surgical course. The present review illustrates the current standpoint of these 3 specialists on the role of IPSS.

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Section: Evidence On the Use Of Petrosal Sinus Samplingmentioning

confidence: 99%

The role of inferior petrosal sinus sampling in ACTH-dependent Cushing's syndrome: review and joint opinion statement by members of the Italian Society for Endocrinology, Italian Society for Neurosurgery, and Italian Society for Neuroradiology

Giraldi

Cavallo

Tortora

et al. 2015

FOC

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“…Entretanto, observou-se que cerca de 25% das pessoas têm a drenagem venosa dos SPI representada por plexos venosos, que também chegam à jugular interna (18). Em uma quantidade reduzida dos indivíduos, que pode alcançar até 7% do total, não há comunicação entre o SPI e a veia jugular interna, sendo o plexo venoso cervical profundo sede dessa drenagem venosa, impossibilitando assim o cateterismo dos SPI (10,18).…”

Section: Discussionunclassified

“…O hábito da realização da venografia retrógrada, com a visualização de fluxo no seio cavernoso contralateral, tanto antes como após a coleta das amostras, deve fazer parte da rotina angiográfica, sendo considerado critério para a caracterização do posicionamento adequado do cateter (18). A frequência da boa cateterização varia entre os grupos, sendo relatadas taxas de sucesso de 62,5% a 100% em diferentes publicações (10,16,19,20). Em estudo retrospectivo contando com 128 pacientes, Kaltsas e cols.…”

Section: Discussionunclassified

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Aspectos técnicos e funcionais da cateterização dos seios petrosos inferiores na síndrome de Cushing ACTH dependente

Silva

Aguiar

Conti

et al. 2014

Arq Bras Endocrinol Metab

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RESUMOObjetivo: Descrever e analisar a técnica empregada para a cateterização bilateral dos seios petrosos inferiores (SPI) em nosso serviço, discutindo as dificuldades e as taxas de sucesso encontradas. Sujeitos e métodos: Entre 2009 e 2012, foram submetidos ao cateterismo bilateral dos SPI 14 pacientes com suspeita de síndrome de Cushing, sendo descrita a técnica empregada para o cateterismo e para a análise hormonal. Resultados: O procedimento foi bem tolerado por todos os pacientes, sendo alcançada a cateterização adequada dos SPI em 92,85% dos casos. O diagnóstico de doença de Cushing foi firmado em 10 casos, sendo o resultado do cateterismo dos SPI após estímulo com CRH coerente em todos, não havendo falso-negativos. Conclusão: O cateterismo dos SPI, apesar de ser uma técnica invasiva, é um procedimento seguro. A sua realização pode ser feita de forma adequada na maioria dos casos e, quando bem indicada, permanece como padrão-ouro na distinção da forma hipofisária da ectópica na síndrome de Cushing. Arq Bras Endocrinol Metab. 2014;58(7):758-64 Descritores Síndrome de Cushing; cateterização; seios petrosos; ACTH ABSTRACTObjective: To describe and analyze technique for bilateral catheterization of inferior petrosal sinus in our service, discussing the difficulties and success rates found. Subjects and me thods: Fourteen patients with suspected Cushing's syndrome underwent bilateral inferior petrosal sinuses (IPS) catheterization between 2009 and 2012. The technique for catheterization and for hormone analysis were described. Results: The procedure was well tolerated by all patients, and adequate catheterization was achieved in 92.85% of cases. The diagnosis of Cushing's disease was confirmed in 10 cases. The result of IPS catheterization after CRH infusion was coherent in all cases, without false negatives. Conclusion: The catheterization of IPS, despite being an invasive technique, is a safe procedure. The objectives can be done properly in most cases. When well indicated, this procedure remains the gold standard in distinguishing the ectopic form to pituitary source in Cushing's syndrome. Arq Bras Endocrinol Metab. 2014;58(7):758-64

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“…Indeed, if the baseline ACTH levels had been only considered in this case, this result would have failed to give any clue in confirming the laterality of the microadema. It has been suggested that these false negatives are often associated in this technique due to low levels of ACTH (Kageyama et al, 1985), anatomical variation of veins (Shiu et al, 1968), irregular bursts of ACTH secretion from the adenoma (Cuneo et al, 1985), unequivalent dilution of pituitary venous blood (Zovickian et al, 1988), and so on. Consequently, simultaneous PRL measurement has been proposed as an indicator of successful sampling of pituitary drainage (Tanaka et al, 1984;Yokoe et al, 1987).…”

Section: Discussionmentioning

confidence: 99%

ACTH Determination in a Petrosal Sinus Venous Specimen after Corticotrophin Releasing Factor Provides the Best Clue on the Laterality of Microadenoma in Cushing's Disease.

et al. 1989

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Cavernous Sinus Venography

Cited by 154 publications

References 0 publications

The role of inferior petrosal sinus sampling in ACTH-dependent Cushing's syndrome: review and joint opinion statement by members of the Italian Society for Endocrinology, Italian Society for Neurosurgery, and Italian Society for Neuroradiology

The role of inferior petrosal sinus sampling in ACTH-dependent Cushing's syndrome: review and joint opinion statement by members of the Italian Society for Endocrinology, Italian Society for Neurosurgery, and Italian Society for Neuroradiology

Aspectos técnicos e funcionais da cateterização dos seios petrosos inferiores na síndrome de Cushing ACTH dependente

ACTH Determination in a Petrosal Sinus Venous Specimen after Corticotrophin Releasing Factor Provides the Best Clue on the Laterality of Microadenoma in Cushing's Disease.

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