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

Radiology and Oncology
Volume 54 (2020): Issue 4 (December 2020)
By:
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).
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).
The right adrenal vein during sampling (arrow) (angiography).

Figure 3

Branches of the left adrenal vein during sampling (arrows) (angiography).
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).
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.
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.
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
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
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Language: English
Page range: 409 - 418
Submitted on: Apr 14, 2020
Accepted on: Jul 12, 2020
Published on: Aug 5, 2020
Published by: Association of Radiology and Oncology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
angiography,
adrenal gland,
endocrine disorders,
secondary hypertension
Related subjects:
Medicine,
Clinical medicine,
Internal medicine,
Haematology, oncology,
Radiology

© 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.

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