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Adrenal vein sampling in the diagnosis of aldosteronism

Authors Deipolyi A, Oklu R

Received 15 December 2014

Accepted for publication 1 April 2015

Published 8 June 2015 Volume 2015:3 Pages 17—23

DOI https://doi.org/10.2147/JVD.S79302

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Professor Sherif Sultan


Amy R Deipolyi,1 Rahmi Oklu2

1Vascular and Interventional Radiology, NYU Langone Medical Center, New York, NY, USA; 2Interventional Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA

Abstract: Primary aldosteronism causes 15%–25% of cases of drug-resistant hypertension. Adrenal vein sampling (AVS) is a procedure entailing the measurement of aldosterone from both adrenal veins, to diagnose an adrenal source of excess aldosterone secretion. Because unilateral adrenal etiologies of primary aldosteronism may be surgically resected, identifying these sources by venous sampling is critical. Technical aspects of the procedure are reviewed, with emphasis on strategies to avoid common difficulties during AVS.

Keywords: primary aldosteronism, hypertension, venous sampling, adrenal adenoma

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