title: [Use of C-arm CT for improving the hit rate for selective blood sampling from adrenal veins].
abstract: Primary hyperaldosteronism is the most common curable cause of hypertension with a prevalence of up to 12% among patients with hypertension. Selective blood sampling from adrenal veins is considered the diagnostic gold standard. However, it is underutilized due to the high technical failure rate. The use of C-arm CT during the sampling procedure can reduce or even eliminate this failure rate. If adrenal vein sampling is augmented by native C-arm CT to check for the correct catheter position, the technical success rate increases substantially. General use of this technique will result in correct diagnosis and treatment for patients with primary hyperaldosteronism.
authors.affiliation: Russell H. Morgan Department of Radiology and Radiological Science, Division of Vascular and Interventional Radiology, Johns Hopkins Outpatient Center, 601 North Caroline Street, Baltimore, MD 21287-0851, USA. fwacker1@jhmi.edu
authors.forename: C
authors.initials: C
authors.lastname: Georgiades
authors.forename: J
authors.initials: J
authors.lastname: Kharlip
authors.forename: S
authors.initials: S
authors.lastname: Valdeig
authors.forename: F K
authors.initials: FK
authors.lastname: Wacker
authors.forename: K
authors.initials: K
authors.lastname: Hong
mesh_terms: D000311:Adrenal Glands / Q000098:blood supply* / Q000000981:diagnostic imaging*; D000450:Aldosterone / Q000097:blood*; D001774:Blood Chemical Analysis / Q000379:methods; D005260:Female; D006801:Humans; D006929:Hyperaldosteronism / Q000097:blood* / Q000175:diagnosis / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D010690:Phlebography / Q000379:methods*; D011677:Punctures / Q000379:methods*; D015641:Radiography, Interventional / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods*
chemical_list: D000450:Aldosterone
references.citation: J Clin Endocrinol Metab. 2001 Mar;86(3):1083-90
references.pmid: 11238490
references.citation: Circulation. 2005 Sep 13;112(11):1651-62
references.pmid: 16157784
references.citation: J Clin Endocrinol Metab. 2001 Mar;86(3):1066-71
references.pmid: 11238487
references.citation: Aust N Z J Med. 1996 Aug;26(4):533-8
references.pmid: 8873937
references.citation: Ann Clin Biochem. 2003 Sep;40(Pt 5):439-52
references.pmid: 14503982
references.citation: Nat Clin Pract Nephrol. 2006 Apr;2(4):198-208; quiz, 1 p following 230
references.pmid: 16932426
references.citation: Dtsch Med Wochenschr. 2007 Nov;132(46):2436-41
references.pmid: 17987550
references.citation: Isr Med Assoc J. 2002 Jan;4(1):17-20
references.pmid: 11802302
references.citation: Radiographics. 2005 Oct;25 Suppl 1:S143-58
references.pmid: 16227488
references.citation: Pol Arch Med Wewn. 2007 Jan-Feb;117(1-2):57-8
references.pmid: 17642209
references.citation: Dtsch Arztebl Int. 2009 May;106(18):305-11
references.pmid: 19547646
references.citation: Arch Surg. 2006 May;141(5):497-502; discussion 502-3
references.pmid: 16702522
references.citation: J Vasc Interv Radiol. 2007 Sep;18(9):1102-5
references.pmid: 17804771
references.citation: J Renin Angiotensin Aldosterone Syst. 2008 Jun;9(2):103-6
references.pmid: 18584586
references.citation: Lancet. 2008 Jun 7;371(9628):1921-6
references.pmid: 18539224
references.citation: Radiology. 1996 Feb;198(2):309-12
references.pmid: 8596821
references.citation: Eur J Endocrinol. 1996 Mar;134(3):308-13
references.pmid: 8616527
references.citation: J Clin Endocrinol Metab. 2009 Apr;94(4):1125-30
references.pmid: 19190103