100 cases of primary aldosteronism: careful choice of patients for surgery using adrenal venous sampling and CT imaging results in excellent blood pressure and potassium outcomes

被引：15

作者：

Graham, U. M. ^{[1
]}

Ellis, P. K. ^{[2
]}

Hunter, S. J. ^{[1
]}

Leslie, H. ^{[3
]}

Mullan, K. R. ^{[1
]}

Atkinson, A. B. ^{[1
]}

机构：

[1] Royal Victoria Hosp, Reg Ctr Endocrinol & Diabet, Belfast BT12 6BA, Antrim, North Ireland

[2] Royal Victoria Hosp, Imaging Ctr, Belfast BT12 6BA, Antrim, North Ireland

[3] Royal Victoria Hosp, Reg Endocrine Lab, Belfast BT12 6BA, Antrim, North Ireland

来源：

CLINICAL ENDOCRINOLOGY | 2012年 / 76卷 / 01期

关键词：

PRIMARY HYPERALDOSTERONISM; HYPERTENSIVE PATIENTS; LAPAROSCOPIC ADRENALECTOMY; DIAGNOSIS; PREVALENCE; STIMULATION;

D O I：

10.1111/j.1365-2265.2011.04177.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective Patients with primary aldosteronism (PA) who are suitable for surgery should undergo adrenal computerised tomography (CT) and adrenal venous sampling (AVS). A retrospective study was performed of 100 patients with PA. We determined the optimal AVS lateralisation ratio for unilateral disease and reviewed adrenalectomy outcomes evaluating which characteristics predicted hypertension cure.

引用

页码：26 / 32

页数：7

共 32 条

[1] Long-term cardiac effects of adrenalectomy or mineralocorticoid antagonists in patients with primary aldosteronism [J].

Catena, Cristiana ;

Colussi, GianLuca ;

Lapenna, Roberta ;

Nadalini, Elisa ;

Chiuch, Alessandra ;

Gianfagna, Pasquale ;

Sechi, Leonardo A. .

HYPERTENSION, 2007, 50 (05) :911-918

[2] DISTINCTION BETWEEN HYPERALDOSTERONISM - DUE TO BILATERAL HYPERPLASIA AND UNILATERAL ALDOSTERONOMA - RELIABILITY OF CT [J].

DOPPMAN, JL ;

GILL, JR ;

MILLER, DL ;

CHANG, R ;

GUPTA, R ;

FRIEDMAN, TC ;

CHOYKE, PL ;

FEUERSTEIN, IM ;

DWYER, AJ ;

JICHA, DL ;

WALTHER, MM ;

NORTON, JA ;

LINEHAN, WM .

RADIOLOGY, 1992, 184 (03) :677-682

[3] Case detection, diagnosis, and treatment of patients with primary aldosteronism: An endocrine society clinical practice guideline [J].

Funder, John W. ;

Carey, Robert M. ;

Fardella, Carlos ;

Gomez-Sanchez, Celso E. ;

Mantero, Franco ;

Stowasser, Michael ;

Young, William F., Jr. ;

Montori, Victor M. .

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2008, 93 (09) :3266-3281

[4] Accuracy of CT scanning and adrenal vein sampling in the pre-operative localization of aldosterone-secreting adrenal adenomas [J].

Harper, R ;

Ferrett, CG ;

McKnight, JA ;

McIlrath, EM ;

Russell, CF ;

Sheridan, B ;

Atkinson, AB .

QJM-MONTHLY JOURNAL OF THE ASSOCIATION OF PHYSICIANS, 1999, 92 (11) :643-650

[5] Adrenal venous sampling in primary hyperaldosteronism: Comparison of radiographic with biochemical success and the clinical decision-making with "less than ideal" testing [J].

Harvey, Achian ;

Kline, Gregory ;

Pasieka, Janice L. .

SURGERY, 2006, 140 (06) :847-853

[6] INCIDENTALLY DISCOVERED ADRENAL MASSES [J].

KLOOS, RT ;

GROSS, MD ;

FRANCIS, IR ;

KOROBKIN, M ;

SHAPIRO, B .

ENDOCRINE REVIEWS, 1995, 16 (04) :460-484

[7] Blood pressure outcome of adrenalectomy in patients with primary hyperaldosteronism with or without unilateral adenoma [J].

Letavernier, Emmanuel ;

Peyrard, Severine ;

Amar, Laurence ;

Zinzindohoue, Franck ;

Fiquet, Beatrice ;

Plouin, Pierre-Francois .

JOURNAL OF HYPERTENSION, 2008, 26 (09) :1816-1823

[8] High prevalence of primary aldosteronism in the Tayside hypertension clinic population [J].

Lim, PO ;

Dow, E ;

Brennan, G ;

Jung, RT ;

MacDonald, TM .

JOURNAL OF HUMAN HYPERTENSION, 2000, 14 (05) :311-315

[9]

LIM PO, 1991, J CLIN ENDOCRINOLOGY, V73, P952

[10] Prevalence of primary aldosteronism among Asian hypertensive patients in Singapore [J].

Loh, KC ;

Koay, ES ;

Khaw, MC ;

Emmanuel, SC ;

Young, WF .

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2000, 85 (08) :2854-2859

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