Aldosteronomas: Experience with Superselective Adrenal Arterial Embolization in 33 Cases

Hokotate, Hirofumi; Inoue, Hiroki; Baba, Yasutaka; Tsuchimochi, Shinsaku; Nakajo, Masayuki

doi:10.1148/radiol.2272011798

Cited by 68 publications

(46 citation statements)

References 27 publications

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“…70 A total of 88% were successfully treated as measured by loss of tumor stain on angiography and decreased CT enhancement and by normalization of adrenal hormone. The mean duration of success was 45 months, and most patients required multiple procedures.…”

Section: Arterial Embolizationmentioning

confidence: 99%

See 1 more Smart Citation

Management of Isolated Adrenal Lesions in Cancer Patients

McLean

Lilienfeld²,

Caracciolo³

et al. 2011

Cancer Control

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Section: Arterial Embolizationmentioning

confidence: 99%

“…The mean duration of success was 45 months, and most patients required multiple procedures. 70 Complications included back or fl ank pain, mild fever, labile blood pressure, and pleural effusion. Hypertensive crisis has been reported with ethanol injection into the adrenal artery.…”

Section: Arterial Embolizationmentioning

confidence: 99%

Management of Isolated Adrenal Lesions in Cancer Patients

McLean

Lilienfeld²,

Caracciolo³

et al. 2011

Cancer Control

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show abstract

“…Hakotate et al have defined recurrence as reincreased plasma aldosterone levels higher than the normal range and resuppressed renin activity for more than 6 months after TAAE (19). Using their criteria, the recurrence rate of their patients was 3% (1/33) during the observational period (median =45 months; range 8-94 months).…”

Section: Discussionmentioning

confidence: 99%

The Long-term Effect of Adrenal Arterial Embolization for Unilateral Primary Aldosteronism on Cardiorenovascular Protection, Blood Pressure, and the Endocrinological Profile

et al. 2016

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Primary aldosteronism (PA) is a major cause of secondary hypertension, divided into two subtypes: unilateral and bilateral. Unilateral PA (u-PA) is surgically-curable. Medical treatment with mineralocorticoid receptors antagonists is recommended as a second-line treatment when the patients are not candidate for surgical treatment. The present case was a 39-year-old woman with u-PA, who had refused surgery, had suffered from adverse effects of medical treatment. She was treated with transcatheter adrenal arterial embolization (TAAE). Her blood pressure had been well controlled without progression of cardiorenovascular damage for 12 years. TAAE can be the third treatment option for u-PA patients.

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“…In the adrenal glands, complications other than post-embolization syndrome (back pain, flank pain, fever) that have been reported include tachycardia caused by catecholamine hypersecretion 78) , labile blood pressure 77) 78) , and pleural effusion 77) .…”

Section: Commentarymentioning

confidence: 99%