2017
DOI: 10.1016/j.radcr.2016.10.013
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Transarterial embolization of a hyperfunctioning aldosteronoma in a patient with bilateral adrenal nodules

Abstract: Primary hyperaldosteronism often results in resistant hypertension and hypokalemia, which may lead to cardiovascular and cerebrovascular complications. Although surgery is first line treatment for unilateral functioning aldosteronomas, minimally invasive therapies may be first line for certain patients such as those who cannot tolerate surgery. We present a case of transarterial embolization (TAE) of an aldosteronoma. The patient presented with a cerebrovascular accident, and subsequently developed uncontrolle… Show more

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Cited by 5 publications
(2 citation statements)
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“…The current consensus is to perform conservative treatment first (consisting of fluid resuscitation, blood transfusion, and anterior and posterior nasal packing) followed by trans-arterial embolization (TAE). However, the association of TAE with several major complications such as cerebrovascular accident, nephrotoxicity, facial nerve palsy, monocular blindness, and soft tissue necrosis have been previously reported in the literature [ 11 , 12 , 13 ]. Furthermore, TAE requires adequately trained interventional radiologists with proper facilities and equipment, both of which may not be readily available at all institutions.…”
Section: Introductionmentioning
confidence: 99%
“…The current consensus is to perform conservative treatment first (consisting of fluid resuscitation, blood transfusion, and anterior and posterior nasal packing) followed by trans-arterial embolization (TAE). However, the association of TAE with several major complications such as cerebrovascular accident, nephrotoxicity, facial nerve palsy, monocular blindness, and soft tissue necrosis have been previously reported in the literature [ 11 , 12 , 13 ]. Furthermore, TAE requires adequately trained interventional radiologists with proper facilities and equipment, both of which may not be readily available at all institutions.…”
Section: Introductionmentioning
confidence: 99%
“…In clinical settings, the choice of surgical procedure and technique, whether through a transperitoneal or retroperitoneal approach, or a single-port or multi-port laparoscopic approach, varies substantially depending on the patient, lesion dimensions and features, hospital, and surgeon. Concurrently, emerging interventions including radiofrequency ablation, transarterial embolization [26], or radiofrequency ablation [27] for adrenalectomy may provide novel options for high-risk patients unable to undergo surgery. However, their long-term efficacy and treatment outcomes remain to be determined.…”
Section: Discussionmentioning
confidence: 99%