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Adrenal vein sampling: technique and protocol, a systematic review

Primary aldosteronism is the leading cause of secondary hypertension worldwide. Its deleterious effects outstrip those due to blood pressure elevation alone. An essential part of the work-up of a patient with primary aldosteronism is determining if aldosterone production is unilateral or bilateral....

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Autor principal: Quencer, Keith B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8093361/
https://www.ncbi.nlm.nih.gov/pubmed/33939038
http://dx.doi.org/10.1186/s42155-021-00220-y
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author_facet Quencer, Keith B.
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description Primary aldosteronism is the leading cause of secondary hypertension worldwide. Its deleterious effects outstrip those due to blood pressure elevation alone. An essential part of the work-up of a patient with primary aldosteronism is determining if aldosterone production is unilateral or bilateral. With the former, surgery offers a potential cure and better overall outcomes. Adrenal vein sampling is considered the most reliable method to determine whether production is unilateral or bilateral. Sampling may be non-diagnostic when the vein cannot be properly cannulated. But with proper knowledge and experience as well as the utilization of certain techniques, procedure success can be high. Multiple protocols exist; their rationale and drawbacks are reviewed here. This article will give the reader an overview of techniques for improving procedural success as well as background, rationale and evidence to guide one in choosing the appropriate procedural and interpretation protocol.
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spelling pubmed-80933612021-05-06 Adrenal vein sampling: technique and protocol, a systematic review Quencer, Keith B. CVIR Endovasc Review Article Primary aldosteronism is the leading cause of secondary hypertension worldwide. Its deleterious effects outstrip those due to blood pressure elevation alone. An essential part of the work-up of a patient with primary aldosteronism is determining if aldosterone production is unilateral or bilateral. With the former, surgery offers a potential cure and better overall outcomes. Adrenal vein sampling is considered the most reliable method to determine whether production is unilateral or bilateral. Sampling may be non-diagnostic when the vein cannot be properly cannulated. But with proper knowledge and experience as well as the utilization of certain techniques, procedure success can be high. Multiple protocols exist; their rationale and drawbacks are reviewed here. This article will give the reader an overview of techniques for improving procedural success as well as background, rationale and evidence to guide one in choosing the appropriate procedural and interpretation protocol. Springer International Publishing 2021-04-01 /pmc/articles/PMC8093361/ /pubmed/33939038 http://dx.doi.org/10.1186/s42155-021-00220-y Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/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/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Review Article
Quencer, Keith B.
Adrenal vein sampling: technique and protocol, a systematic review
title Adrenal vein sampling: technique and protocol, a systematic review
title_full Adrenal vein sampling: technique and protocol, a systematic review
title_fullStr Adrenal vein sampling: technique and protocol, a systematic review
title_full_unstemmed Adrenal vein sampling: technique and protocol, a systematic review
title_short Adrenal vein sampling: technique and protocol, a systematic review
title_sort adrenal vein sampling: technique and protocol, a systematic review
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8093361/
https://www.ncbi.nlm.nih.gov/pubmed/33939038
http://dx.doi.org/10.1186/s42155-021-00220-y
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