Identification of the etiology of primary aldosteronism with adrenal vein sampling in patients with equivocal imaging findings
10.3760/cma.j.issn.1000-6699.2012.10.014
- VernacularTitle:肾上腺静脉采血在影像学检查无法确定分型的原发性醛固酮增多症病因诊断中的应用
- Author:
Ping LI
;
Shanmei SHEN
;
Xuebin ZHANG
;
Qijun FANG
;
Xin SHU
;
Le CHEN
;
Hong HUANG
;
Wei CHEN
;
Yun HU
;
Bin ZHU
;
Dalong ZHU
- Publication Type:Journal Article
- Keywords:
Primary aldosteronism;
Adrenal vein sampling;
Aldosterone-producing adenoma;
Idiopathic hyperaldosteronism
- From:
Chinese Journal of Endocrinology and Metabolism
2012;28(10):842-844
- CountryChina
- Language:Chinese
-
Abstract:
A group of 19 referred hypertensive patients were diagnosed to have primary aldosteronism(PA) with inconclusive computed tomography scan results.Adrenal vein sarmpling (AVS) was performed in all patients.AVS was successful in 16 cases but failed in 3 cases.According to the results of AVS and postoperative pathology,8 cases were diagnosed as aldosterone-producing adenoma (APA) and unilateral adrenal hyperplasia (UAH),and the other 8 cases were diagnosed as idiopathic hyperaldosteronism (IHA).In conclusion,AVS is one of the most crucial methods in typing diagnosis of PA.