Therapeutic venous infarction of an aldosterone producing adenoma (Conn's tumour).

Mathias, C. J.; Peart, W. S.; Carron, D. B.; Hemingway, A. P.; Allison, D J

doi:10.1136/bmj.288.6428.1416

Cited by 4 publications

(2 citation statements)

References 3 publications

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“…Mathias et al first reported catheter intervention for APA (18). Their patient was thought to have high surgical risks and side effects following antihypertensive drug use.…”

Section: Discussionmentioning

confidence: 99%

The Long-term Effect of Adrenal Arterial Embolization for Unilateral Primary Aldosteronism on Cardiorenovascular Protection, Blood Pressure, and the Endocrinological Profile

et al. 2016

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Primary aldosteronism (PA) is a major cause of secondary hypertension, divided into two subtypes: unilateral and bilateral. Unilateral PA (u-PA) is surgically-curable. Medical treatment with mineralocorticoid receptors antagonists is recommended as a second-line treatment when the patients are not candidate for surgical treatment. The present case was a 39-year-old woman with u-PA, who had refused surgery, had suffered from adverse effects of medical treatment. She was treated with transcatheter adrenal arterial embolization (TAAE). Her blood pressure had been well controlled without progression of cardiorenovascular damage for 12 years. TAAE can be the third treatment option for u-PA patients.

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“…Mathias et al first reported catheter intervention for APA (18). Their patient was thought to have high surgical risks and side effects following antihypertensive drug use.…”

Section: Discussionmentioning

confidence: 99%

The Long-term Effect of Adrenal Arterial Embolization for Unilateral Primary Aldosteronism on Cardiorenovascular Protection, Blood Pressure, and the Endocrinological Profile

et al. 2016

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“…Intentional bilateral venous infarction of the adrenals has been used as a novel form of treatment and palliation in patients with ACTH-dependent Cushing's syndrome who have been unsuitable for, or who have proved resistant to, other forms oftreatment.4'5 Our group used this approach to control a very advanced case where only one adrenal had been removable by the initial operation;6 the method has also been used in the treatment of a frail patient with Conn's syndrome due to an aldosteronoma. 7 Therapeutic arterial embolization is a recognized method of controlling hormone production from endocrine tumours of the pancreas and in the liver8 '9 and has been used less often for embolization of phaeochromocytoma'°and carcinoid tumours." It has not so far been reported in the control of excessive cortisol production from hyperplastic adrenal glands.…”

Section: Introductionmentioning

confidence: 99%

Use of adrenal arterial embolization in severe ACTH-dependent Cushing’s syndrome

Blunt

Pirmohamed

Chatterjee

et al. 1989

Postgraduate Medical Journal

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Summary The management of a patient with severe Cushing’s syndrome due to ectopic ACTH produced by a medullary carcinoma of the thyroid is described. Initial treatment with maximal adrenolytic medical therapy and two attempts at bilateral adrenal venous infarction had failed to control the disease, and she was at that time unfit for surgery. Subsequent use of bilateral adrenal arterial embolization enabled medical therapy to produce sufficient control of the Cushing’s syndrome to allow bilateral adrenalectomy to be performed successfully, with resultant cure of the excessive cortisol production.

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Imaging of the Adrenals

Roddie¹

1993

Surgical Endocrinology

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Therapeutic venous infarction of an aldosterone producing adenoma (Conn's tumour).

Cited by 4 publications

References 3 publications

The Long-term Effect of Adrenal Arterial Embolization for Unilateral Primary Aldosteronism on Cardiorenovascular Protection, Blood Pressure, and the Endocrinological Profile

The Long-term Effect of Adrenal Arterial Embolization for Unilateral Primary Aldosteronism on Cardiorenovascular Protection, Blood Pressure, and the Endocrinological Profile

Use of adrenal arterial embolization in severe ACTH-dependent Cushing’s syndrome

Imaging of the Adrenals

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