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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...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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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 |
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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 |
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