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Adrenal vein sampling for primary aldosteronism: a 15-year national referral center experience Cover

Adrenal vein sampling for primary aldosteronism: a 15-year national referral center experience

Open Access
|Aug 2020

Figures & Tables

Figure 1

Tiny aldosterone-producing adenoma (8 mm) in lateral limb of the right adrenal gland (arrow) (CT scan).

Figure 2

The right adrenal vein during sampling (arrow) (angiography).

Figure 3

Branches of the left adrenal vein during sampling (arrows) (angiography).

Figure 4

Tip of the catheter in the right adrenal vein (arrow); both limbs of the right adrenal gland are visible underneath (cone beam CT).

Figure 5

Number of adrenal vein sampling procedures per year during the study period.

Figure 6

Patients with successful adrenal vein sampling (AVS) and successful AVS procedures during the study period.

Figure 7

Agreement between adrenal vein sampling (AVS) and CT findings depicted with a variable-width stacked column chart. Patients with normal CT scans are included in the CT bilateral category

Clinical characteristics and laboratory parameters of the patients

CharacteristicDescriptive statistics
n235
Male patients168 (71%)
Age (years)56 (32–73)
Body Mass Index (kg/m2)30.4 (18.3–48.4)
Systolic BP at presentation (mm Hg)155 (145–170)
Diastolic BP at presentation (mm Hg)90 (80–95)
Number of antihypertensive agents3 (2–4)
Hypokalemia172 (73%)
eGFR (ml/min/1.73 m2)88 (71–102)
Baseline aldosterone (nmol/L)0.7 (0.3–8.8)
Baseline PRA (ng/mL/h)0.2 (0.2–0.9)
Baseline ARR4.2 (1.1–43.8)
CT

= not performed in one patient; ARR = serum aldosterone-to-renin ratio; BP = blood pressure; eGFR = estimated glomerular filtration rate; PRA = plasma renin activity; Descriptive statistics are reported as median (interquartile range) for numeric variables and number (percentage) for categorical variables;

normal / bilateral / unilateral
66 (28%) / 24 (10%) / 144 (62%)
Tumor size on CT (mm)13 (8–19)
DOI: https://doi.org/10.2478/raon-2020-0052 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 409 - 418
Submitted on: Apr 14, 2020
|
Accepted on: Jul 12, 2020
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Published on: Aug 5, 2020
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2020 Tomaz Kocjan, Mojca Jensterle, Gaj Vidmar, Rok Vrckovnik, Pavel Berden, Milenko Stankovic, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.