Kadziela, J., Prejbisz, A., Michalowska, I., Kolodziejczyk-Kruk, S., Schultze Kool, L., Kabat, M., Janaszek-Sitkowska, H., Toutounchi, S., Galazka, Z., Ambroziak, U., Bednarczuk, T., Ptasińska-Wnuk, D., Hoffmann, M., Januszewicz, M., Januszewicz, A. and Witkowski, A. (2017) A Single-Centre Experience of the Implementation of Adrenal Vein Sampling Procedure: The Impact on the Diagnostic Work-Up in Primary Aldosteronism. Kardiologia Polska, 75, 28-34.
https://doi.org/10.5603/KP.a2016.0166

has been cited by the following article:

• TITLE: Adrenal Venous Sampling in Patients with Primary Aldosteronism: Which Is the Best Evaluation Method for Laterality Assessments?

  AUTHORS: Kimei Azama, Masahiro Okada, Akira Yogi, Tomomi Koga, Yuko Iraha, Joichi Heianna, Hideaki Nakamura, Hiroaki Masuzaki, Sadayuki Murayama

  KEYWORDS: Adrenal Venous Sampling, Primary Aldosteronism, Hypertension, Adrenal Grand

  JOURNAL NAME: Open Journal of Radiology, Vol.7 No.4, December 1, 2017

  ABSTRACT: Purpose: The purpose was to investigate the most accurate method of adrenal venous sampling to diagnose unilateral primary aldosteronism (PA) prior to laterality assessment. Materials and Methods: Sixty-four consecutive PA patients were enrolled in this retrospective study. A catheter was placed in the common-trunk-vein (CTV), below the confluence of the inferior-phrenic-vein and the central-adrenal-vein (CAV) and the right-adrenal-vein (RAV). Blood-sampling was performed both pre- and post-adrenocorticotropic hormone stimulation. Lateralized ratio [LR; aldosterone/cortisol ratio (ACR) on high-value side/ACR on low-value side], contralateral ratio (CR; ACR on low-value side/ACR on inferior-vena-cava ratio), and plasma aldosterone concentration (PAC) were evaluated. The diagnostic accuracy of LR, CR and PAC in CTV/ CAV/RAV during pre- and post-ACTH was compared by receiver-operating-characteristic (ROC) analysis. Results: LR-CAV post-ACTH showed the highest detection rate for unilateral adrenal lesions (93.3%; 14/15), with a sensitivity of 0.93 and a specificity of 0.84 at a cut-off value of 2.5. CR-post-ACTH had the highest Az value (0.89), with a detection rate of 86.7% (13/14), a sensitivity of 0.98, and a specificity of 0.88 at a cut-off value of 0.8. Conclusion: CR-post-ACTH and LR-CAV-post-ACTH are accurate predictors for laterality assessment in PA.