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Evaluation of right adrenal vein anatomy by Dyna computed tomography in patients with primary aldosteronism
Primary aldosteronism (PA) is the most common cause of secondary hypertension and consists up to 11% of patients with hypertension. Adrenal venous sampling (AVS) is the recommended procedure for diagnosis of PA, but the technique is difficult and the right adrenal vein is especially hard to catheter...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4917856/ https://www.ncbi.nlm.nih.gov/pubmed/27334209 http://dx.doi.org/10.1038/srep28305 |
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author | Lee, Bo-Ching Chang, Chin-Chen Liu, Kao-Lang Chang, Yeun-Chung Wu, Vin-Cent Huang, Kuo-How |
author_facet | Lee, Bo-Ching Chang, Chin-Chen Liu, Kao-Lang Chang, Yeun-Chung Wu, Vin-Cent Huang, Kuo-How |
author_sort | Lee, Bo-Ching |
collection | PubMed |
description | Primary aldosteronism (PA) is the most common cause of secondary hypertension and consists up to 11% of patients with hypertension. Adrenal venous sampling (AVS) is the recommended procedure for diagnosis of PA, but the technique is difficult and the right adrenal vein is especially hard to catheterize. We retrospectively examined the clinically relevant anatomy of the right adrenal vein in a sample of 66 PA patients with technically successful AVS and distinctly-opacified right adrenal veins in Dyna computed tomography (CT). In the majority of cases: the right adrenal veins were catheterized when the catheter tilted posterior and rightward (57/66, 86.4%), the transverse direction of the right adrenal vein from the inferior vena cava (IVC) was posterior and rightward (55/66, 83.3%), and the vertical direction of the right adrenal vein from the IVC was caudal (52/66, 78.8%). This study shows that Dyna CT is able to provide detailed anatomical information to the course and direction of the right adrenal vein. |
format | Online Article Text |
id | pubmed-4917856 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Nature Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-49178562016-06-27 Evaluation of right adrenal vein anatomy by Dyna computed tomography in patients with primary aldosteronism Lee, Bo-Ching Chang, Chin-Chen Liu, Kao-Lang Chang, Yeun-Chung Wu, Vin-Cent Huang, Kuo-How Sci Rep Article Primary aldosteronism (PA) is the most common cause of secondary hypertension and consists up to 11% of patients with hypertension. Adrenal venous sampling (AVS) is the recommended procedure for diagnosis of PA, but the technique is difficult and the right adrenal vein is especially hard to catheterize. We retrospectively examined the clinically relevant anatomy of the right adrenal vein in a sample of 66 PA patients with technically successful AVS and distinctly-opacified right adrenal veins in Dyna computed tomography (CT). In the majority of cases: the right adrenal veins were catheterized when the catheter tilted posterior and rightward (57/66, 86.4%), the transverse direction of the right adrenal vein from the inferior vena cava (IVC) was posterior and rightward (55/66, 83.3%), and the vertical direction of the right adrenal vein from the IVC was caudal (52/66, 78.8%). This study shows that Dyna CT is able to provide detailed anatomical information to the course and direction of the right adrenal vein. Nature Publishing Group 2016-06-23 /pmc/articles/PMC4917856/ /pubmed/27334209 http://dx.doi.org/10.1038/srep28305 Text en Copyright © 2016, Macmillan Publishers Limited http://creativecommons.org/licenses/by/4.0/ This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ |
spellingShingle | Article Lee, Bo-Ching Chang, Chin-Chen Liu, Kao-Lang Chang, Yeun-Chung Wu, Vin-Cent Huang, Kuo-How Evaluation of right adrenal vein anatomy by Dyna computed tomography in patients with primary aldosteronism |
title | Evaluation of right adrenal vein anatomy by Dyna computed tomography in patients with primary aldosteronism |
title_full | Evaluation of right adrenal vein anatomy by Dyna computed tomography in patients with primary aldosteronism |
title_fullStr | Evaluation of right adrenal vein anatomy by Dyna computed tomography in patients with primary aldosteronism |
title_full_unstemmed | Evaluation of right adrenal vein anatomy by Dyna computed tomography in patients with primary aldosteronism |
title_short | Evaluation of right adrenal vein anatomy by Dyna computed tomography in patients with primary aldosteronism |
title_sort | evaluation of right adrenal vein anatomy by dyna computed tomography in patients with primary aldosteronism |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4917856/ https://www.ncbi.nlm.nih.gov/pubmed/27334209 http://dx.doi.org/10.1038/srep28305 |
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