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  • Primary hyperaldosteronism: effect of adrenal vein sampling on surgical outcome
  • Nwariaku FE; Miller BS; Auchus R; Holt S; Watumull L; Dolmatch B; Nesbitt S; Vongpatanasin W; Victor R; Wians F; Livingston E; Snyder WH 3rd
  • Arch Surg 2006[May]; 141 (5): 497-502; discussion 502-3
  • HYPOTHESIS: Adrenal vein sampling is superior to computed tomography for subtype differentiation of primary hyperaldosteronism. DESIGN: Retrospective review. SETTING: University medical center. PATIENTS: Forty-eight patients (32 men and 16 women) with biochemically confirmed primary hyperaldosteronism. MAIN OUTCOME MEASURES: We compared demographic factors, results of biochemical and imaging studies (computed tomography and adrenal vein sampling), therapy, and patient outcomes. RESULTS: Mean +/- SEM adrenal nodule size was 1.54 +/- 0.2 cm. Adrenal vein sampling was performed in 41 (85%) of 48 patients, and it was successful in 39 (95%) of those 41 patients. Concordance between computed tomography and adrenal vein sampling was observed in 22 (54%) of the 41 patients. Thirty-two patients underwent successful laparoscopic adrenalectomy. There was 1 complication and no deaths. All 32 patients were cured of hypokalemia. CONCLUSION: Adrenal vein sampling is superior to image-based techniques for subtype differentiation of primary hyperaldosteronism.
  • |*Adrenalectomy[MESH]
  • |*Veins[MESH]
  • |Adrenal Glands/*blood supply/diagnostic imaging/surgery[MESH]
  • |Aldosterone/blood[MESH]
  • |Catheterization, Peripheral[MESH]
  • |Female[MESH]
  • |Follow-Up Studies[MESH]
  • |Humans[MESH]
  • |Hyperaldosteronism/blood/*diagnosis/surgery[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Predictive Value of Tests[MESH]
  • |Preoperative Care/*methods[MESH]
  • |Retrospective Studies[MESH]
  • |Tomography, X-Ray Computed[MESH]
  • |Treatment Outcome[MESH]





  • *{{pmid16702522}}
    *<b>[http://www.kidney.de/mlpefetch.php?search=16702522 Primary hyperaldosteronism: effect of adrenal vein sampling on surgical outcome ]</b> Arch Surg 2006; 141(5) ; 497-502; discussion 502-3 Nwariaku FE; Miller BS; Auchus R; Holt S; Watumull L; Dolmatch B; Nesbitt S; Vongpatanasin W; Victor R; Wians F; Livingston E; Snyder WH 3rd

        *16702522*

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    Arch Surg

    497 5.141 2006