Effectiveness of Thermal Ablation for Aldosterone-Producing Adrenal Adenoma: A Systematic Review and Meta-Analysis of Clinical and Biochemical Parameters

Liang, Keng-Wei; Jahangiri, Younes; Tsao, Teng-Fu; Tyan, Yeu–Sheng; Huang, Heng

doi:10.1016/j.jvir.2019.04.039

Cited by 19 publications

(7 citation statements)

References 32 publications

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“…Surgical therapy in case of confirmed lateralization is still the therapy of choice for PHA [51]. Interventional radiological therapy options, such as radio frequency ablation, may in the future represent an alternative therapeutic approach for multi-morbid or elderly patients, [52].…”

Section: Discussionmentioning

confidence: 99%

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Update: Selective adrenal venous sampling (AVS) – Indication, technique, and significance

Loberg

Antoch

Stegbauer

et al. 2020

Rofo

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Background Primary aldosteronism (PA) is the most common detectable cause of secondary hypertension. The majority of patients have either an adrenal aldosterone-producing adenoma (APA) or bilateral adrenal hyperplasia (BAH) demanding different therapeutic approaches. Screening tests and imaging cannot reliably distinguish between a unilateral or bilateral PA. Methods This review article gives an overview concerning etiology, diagnostics, and therapeutic options of PA, and reviews the indication, the technique, and relevance of selective adrenal venous sampling (AVS) in the context of the current literature and the authors’ experience. Results AVS can verify or exclude a unilaterally dominated secretion with a high success rate. Patients with PA and a unilateral APA can be treated curatively by adrenalectomy. Conclusions AVS is an established diagnostic examination for differentiation of unilateral from bilateral adrenal disease in patients with PA. Key Points: Citation Format

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Section: Discussionmentioning

confidence: 99%

“…Die operative Therapie im Falle einer gesicherten Lateralisierung ist nach wie vor die Therapie der Wahl bei PHA [51]. Interventionellradiologische Therapieoptionen wie die Radiofrequenzablation können möglicherweise zukünftig, u. a. bei multimorbiden oder älteren Patienten, einen alternativen Therapieansatz darstellen [52].…”

Section: Diskussionunclassified

Update: Selective adrenal venous sampling (AVS) – Indication, technique, and significance

Loberg

Antoch

Stegbauer

et al. 2020

Rofo

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“…dence ranges from 0% to 62.5% as reported in previous studies [11,13,[37][38][39][40][41][42][43][44][45]. Although adrenal ablations were successfully performed under local anesthesia in several studies, general anesthesia is strongly recommended to address possible BP surges immediately [2,40].…”

Section: Article In Pressmentioning

confidence: 97%

Asian Conference on Tumor Ablation Guidelines for Adrenal Tumor Ablation

et al. 2021

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Thermal ablation is a good alternative treatment in patients who are unable to undergo adrenalectomy. Even though the Asian Conference on Tumor Ablation (ACTA) has been held for many years, adrenal ablation guidelines have not been established. No guidelines for adrenal ablation are established in American and European countries, either. The aim of this review was to introduce the first version of ACTA guidelines for adrenal tumor ablation.

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“…Total or partial adrenalectomy is the treatment of choice for adrenal tumors [32][33][34]; RFA should be accepted as an alternative in patients who cannot undergo surgery due to high risk of postoperative morbidity or mortality [22,23,[34][35][36][37][38][39][40]. Moreover, recurrent pheochromocytomas in patients with hereditary diseases such as von Hippel Lindau disease or multiple endocrine neoplasms may be treated with RFA because repeat adrenalectomy cannot avoid adrenal insufficiency.…”

Section: Indications and Contraindicationsmentioning

confidence: 99%

“…Percutaneous thermal ablation is a minimally invasive treatment for liver [1,2], kidney [3,4], lung [5,6], bone [7,8], and thyroid [9,10] tumors in patients who are unable to undergo surgery. This treatment also has been used to treat adrenal tumors in patients who are poor surgical candidates [11][12][13][14][15][16][17][18][19][20][21][22][23]. Thermal ablation techniques for adrenal ablation include radiofrequency ablation (RFA), cryoablation [24,25], and microwave ablation [26,27].…”

Section: Introductionmentioning

confidence: 99%

Percutaneous Adrenal Radiofrequency Ablation: A Short Review for Endocrinologists

Park

2020

Endocrinol Metab

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Image-guided radiofrequency ablation (RFA) has been accepted as a minimally invasive treatment for adrenal tumors in patients who are unable to undergo adrenalectomy. Accordingly, this treatment has become more readily available for treating functioning or non-functioning adrenal masses. Thus, endocrinologists need a better understanding of percutaneous RFA of adrenal tumors. The purpose of this review is to briefly describe the basic mechanism of RFA, indications and contraindications, patient preparation prior to RFA, type of complications, how to avoid complications, RFA procedures, and treatment outcomes.

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Effectiveness of Thermal Ablation for Aldosterone-Producing Adrenal Adenoma: A Systematic Review and Meta-Analysis of Clinical and Biochemical Parameters

Cited by 19 publications

References 32 publications

Update: Selective adrenal venous sampling (AVS) – Indication, technique, and significance

Update: Selective adrenal venous sampling (AVS) – Indication, technique, and significance

Asian Conference on Tumor Ablation Guidelines for Adrenal Tumor Ablation

Percutaneous Adrenal Radiofrequency Ablation: A Short Review for Endocrinologists

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