Cargando…

Feasibility and effectiveness of a single-catheter approach for adrenal vein sampling in patients with primary aldosteronism

BACKGROUND: Adrenal vein sampling (AVS) is the preferred method for subtyping patients with primary aldosteronism, while the procedure is technically challenging. This study evaluated the feasibility and effectiveness of a single-catheter approach for AVS. METHODS: A retrospective analysis of 106 co...

Descripción completa

Detalles Bibliográficos
Autores principales: Wan, Jindong, Ran, Fei, Xia, Siwei, Hou, Jixin, Wang, Dan, Liu, Sen, Yang, Yi, Zhou, Peng, Wang, Peijian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7847560/
https://www.ncbi.nlm.nih.gov/pubmed/33516216
http://dx.doi.org/10.1186/s12902-021-00685-x
_version_ 1783644945302683648
author Wan, Jindong
Ran, Fei
Xia, Siwei
Hou, Jixin
Wang, Dan
Liu, Sen
Yang, Yi
Zhou, Peng
Wang, Peijian
author_facet Wan, Jindong
Ran, Fei
Xia, Siwei
Hou, Jixin
Wang, Dan
Liu, Sen
Yang, Yi
Zhou, Peng
Wang, Peijian
author_sort Wan, Jindong
collection PubMed
description BACKGROUND: Adrenal vein sampling (AVS) is the preferred method for subtyping patients with primary aldosteronism, while the procedure is technically challenging. This study evaluated the feasibility and effectiveness of a single-catheter approach for AVS. METHODS: A retrospective analysis of 106 consecutive patients who underwent AVS was performed to determine the procedural success and complication rates. Bilateral AVS procedures were performed using a single 5-Fr Tiger catheter with repeated manual reshaping. RESULTS: We successfully advanced the catheter into the bilateral adrenal veins of all patients and reached a 90.6% procedural success rate of AVS. The procedural period was 33.0 ± 8.2 min, the fluoroscopy period was 5.8 ± 1.7 min, and the diagnostic contrast used was 17.3 ± 5.5 ml. Only one patient (0.9%) had a hematoma at the femoral puncture site. No other complications were observed. The operation period gradually shortened as the cumulative number of operations increased. The number of procedures required to overcome the learning curve was about 33 cases. CONCLUSIONS: The single-catheter approach is feasible and effective for AVS. Moreover, this approach required a relatively short learning curve for an inexperienced trainee.
format Online
Article
Text
id pubmed-7847560
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-78475602021-02-01 Feasibility and effectiveness of a single-catheter approach for adrenal vein sampling in patients with primary aldosteronism Wan, Jindong Ran, Fei Xia, Siwei Hou, Jixin Wang, Dan Liu, Sen Yang, Yi Zhou, Peng Wang, Peijian BMC Endocr Disord Research Article BACKGROUND: Adrenal vein sampling (AVS) is the preferred method for subtyping patients with primary aldosteronism, while the procedure is technically challenging. This study evaluated the feasibility and effectiveness of a single-catheter approach for AVS. METHODS: A retrospective analysis of 106 consecutive patients who underwent AVS was performed to determine the procedural success and complication rates. Bilateral AVS procedures were performed using a single 5-Fr Tiger catheter with repeated manual reshaping. RESULTS: We successfully advanced the catheter into the bilateral adrenal veins of all patients and reached a 90.6% procedural success rate of AVS. The procedural period was 33.0 ± 8.2 min, the fluoroscopy period was 5.8 ± 1.7 min, and the diagnostic contrast used was 17.3 ± 5.5 ml. Only one patient (0.9%) had a hematoma at the femoral puncture site. No other complications were observed. The operation period gradually shortened as the cumulative number of operations increased. The number of procedures required to overcome the learning curve was about 33 cases. CONCLUSIONS: The single-catheter approach is feasible and effective for AVS. Moreover, this approach required a relatively short learning curve for an inexperienced trainee. BioMed Central 2021-01-30 /pmc/articles/PMC7847560/ /pubmed/33516216 http://dx.doi.org/10.1186/s12902-021-00685-x Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Wan, Jindong
Ran, Fei
Xia, Siwei
Hou, Jixin
Wang, Dan
Liu, Sen
Yang, Yi
Zhou, Peng
Wang, Peijian
Feasibility and effectiveness of a single-catheter approach for adrenal vein sampling in patients with primary aldosteronism
title Feasibility and effectiveness of a single-catheter approach for adrenal vein sampling in patients with primary aldosteronism
title_full Feasibility and effectiveness of a single-catheter approach for adrenal vein sampling in patients with primary aldosteronism
title_fullStr Feasibility and effectiveness of a single-catheter approach for adrenal vein sampling in patients with primary aldosteronism
title_full_unstemmed Feasibility and effectiveness of a single-catheter approach for adrenal vein sampling in patients with primary aldosteronism
title_short Feasibility and effectiveness of a single-catheter approach for adrenal vein sampling in patients with primary aldosteronism
title_sort feasibility and effectiveness of a single-catheter approach for adrenal vein sampling in patients with primary aldosteronism
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7847560/
https://www.ncbi.nlm.nih.gov/pubmed/33516216
http://dx.doi.org/10.1186/s12902-021-00685-x
work_keys_str_mv AT wanjindong feasibilityandeffectivenessofasinglecatheterapproachforadrenalveinsamplinginpatientswithprimaryaldosteronism
AT ranfei feasibilityandeffectivenessofasinglecatheterapproachforadrenalveinsamplinginpatientswithprimaryaldosteronism
AT xiasiwei feasibilityandeffectivenessofasinglecatheterapproachforadrenalveinsamplinginpatientswithprimaryaldosteronism
AT houjixin feasibilityandeffectivenessofasinglecatheterapproachforadrenalveinsamplinginpatientswithprimaryaldosteronism
AT wangdan feasibilityandeffectivenessofasinglecatheterapproachforadrenalveinsamplinginpatientswithprimaryaldosteronism
AT liusen feasibilityandeffectivenessofasinglecatheterapproachforadrenalveinsamplinginpatientswithprimaryaldosteronism
AT yangyi feasibilityandeffectivenessofasinglecatheterapproachforadrenalveinsamplinginpatientswithprimaryaldosteronism
AT zhoupeng feasibilityandeffectivenessofasinglecatheterapproachforadrenalveinsamplinginpatientswithprimaryaldosteronism
AT wangpeijian feasibilityandeffectivenessofasinglecatheterapproachforadrenalveinsamplinginpatientswithprimaryaldosteronism