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

Loberg, Christina; Antoch, Gerald; Stegbauer, Johannes; Dringenberg, Till; Steuwe, Andrea; Fürst, G.; Rump, Lars Christian; Schimmöller, Lars

doi:10.1055/a-1299-1878

Cited by 9 publications

(3 citation statements)

References 50 publications

(113 reference statements)

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“…As far as we know, the main reason for the low success rate of AVS is that the RAV is difficult to catheterize due to the large variation of right position 23 . The LAV emerges from the left adrenal hilum, and joins the inferior phrenic vein as a trunk, and then drains into the left renal vein.…”

Section: Discussionmentioning

confidence: 99%

“…As far as we know, the main reason for the low success rate of AVS is that the RAV is difficult to catheterize due to the large variation of right position. 23 The LAV emerges from the left adrenal hilum, and joins the inferior phrenic vein as a trunk, and then drains into the left renal vein. The anatomical position of the LAV is relatively fixed, so it is easier to reach the LAV than the RAV, and the success rate of left AVS is also higher, usually more than 95%.…”

Section: Discussionmentioning

confidence: 99%

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The left adrenal vein: An important direction for right adrenal venous sampling

Xiong,

Du,

Yang

et al. 2023

J of Clinical Hypertension

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This study aimed to evaluate the guiding role of left adrenal vein (LAV) for right adrenal venous sampling (AVS). A total of 347 patients who were diagnosed with primary aldosteronism (PA) and underwent successful AVS procedures from January 2020 to July 2021 were retrospectively analyzed. According to the different quadrant position of the orifice of right adrenal vein (RAV), the area where the orifice of RAV is located is divided into three areas: A, B, and C and the area A is further subdivided into A1, A2, and A3 areas. By counting the area where the orifice of RAV is located, the guiding role of the LAV on the RAV is determined. Most of the orifice of RAV are located in area A, and the proportions of areas A, B, and C was 96.8%, 1.4%, and 1.7%, respectively. In area A, areas A1, A2, and A3 account for 80.9%, 17.0%, and 2.1%, respectively. High body mass index, female and smaller the angle between the LAV and horizontal line was associated with the closer positional relationship between the LAV on the RAV. These findings suggest that most of the horizontal position of the RAV orifice is close to the horizontal position of the most distal end of the LAV, which indicate that the LAV location can play an important role on the guiding for right AVS. Additionally, body mass index, sex, and the angle of the LAV was largely related to location of the orifice of the RAV.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The left adrenal vein: An important direction for right adrenal venous sampling

Xiong,

Du,

Yang

et al. 2023

J of Clinical Hypertension

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“…For primary aldosteronism, venous sampling has become an important diagnostic step in identifying unilateral or bilateral adrenal disease ( 87 ). By using CT and MR alone, there is poor ability to detect laterality of disease ( 88 ).…”

Section: Endocrinementioning

confidence: 99%

Value of interventional radiology and their contributions to modern medical systems

Campbell,

Chick,

Shin

et al. 2024

Front. Radiol.

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Interventional radiology (IR) is a unique specialty that incorporates a diverse set of skills ranging from imaging, procedures, consultation, and patient management. Understanding how IR generates value to the healthcare system is important to review from various perspectives. IR specialists need to understand how to meet demands from various stakeholders to expand their practice improving patient care. Thus, this review discusses the domains of value contributed to medical systems and outlines the parameters of success. IR benefits five distinct parties: patients, practitioners, payers, employers, and innovators. Value to patients and providers is delivered through a wide set of diagnostic and therapeutic interventions. Payers and hospital systems financially benefit from the reduced cost in medical management secondary to fast patient recovery, outpatient procedures, fewer complications, and the prestige of offering diverse expertise for complex patients. Lastly, IR is a field of rapid innovation implementing new procedural technology and techniques. Overall, IR must actively advocate for further growth and influence in the medical field as their value continues to expand in multiple domains. Despite being a nascent specialty, IR has become indispensable to modern medical practice.

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Key to the Treatment of Primary Aldosteronism in Secondary Hypertension: Subtype Diagnosis

Zuo,

Liu,

et al. 2023

Curr Hypertens Rep

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

Cited by 9 publications

References 50 publications

The left adrenal vein: An important direction for right adrenal venous sampling

The left adrenal vein: An important direction for right adrenal venous sampling

Value of interventional radiology and their contributions to modern medical systems

Key to the Treatment of Primary Aldosteronism in Secondary Hypertension: Subtype Diagnosis

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