Adrenal Venous Sampling in Primary Hyperaldosteronism

被引：1

作者：

Fingeret, Abbey L. ^{[1
]}

Lee, James A. ^{[1
]}

机构：

[1] Columbia Univ, New York Presbyterian Hosp, Med Ctr, Sect Endocrine Surg, 177 Ft Washington Ave,MHB 7-GS 313, New York, NY 10032 USA

来源：

CURRENT SURGERY REPORTS | 2014年 / 2卷 / 01期

关键词：

Primary hyperaldosteronism; Aldosteroneproducing; 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：

R61 [外科手术学];

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 crosssectional imaging, and discuss the indications for and interpretation of AVS.

引用

页数：6

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