Adrenal Venous Sampling in Primary Hyperaldosteronism

被引：0
|
作者：
Abbey L. Fingeret
James A. Lee
机构：
[1] New York-Presbyterian Hospital of Columbia University Medical Center,Section of Endocrine Surgery
来源：
Current Surgery Reports | / 2卷 / 1期
关键词：
Primary hyperaldosteronism; Aldosterone-producing adenoma; Idiopathic hyperaldosteronism; Adrenal vein sampling; Adrenal venous sampling; Screening; Diagnostic imaging; Selectivity index; Laterality index;
D O I：
10.1007/s40137-013-0038-6
中图分类号：
学科分类号：
摘要：
Adrenal venous sampling (AVS) is used to distinguish unilateral from bilateral aldosterone hypersecretion as a cause of primary hyperaldosteronism (PHA). This distinction is critical because unilateral disease is treated, and often cured, by adrenalectomy, whereas bilateral hypersecretion should be managed medically. In this article, we review the epidemiology and etiologies of PHA, present screening guidelines for hypertensive patients with suspected PHA, assess the utility and pitfalls of cross-sectional imaging, and discuss the indications for and interpretation of AVS.
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