Article citationsMore>>
Rossi, G.P., Barisa, M., Allolio, B., Auchus, R.J., Amar, L., Cohen, D., Degenhart, C., Deinum, J., Fischer, E., Gordon, R., Kickuth, R., Kline, G., Lacroix, A., Magill, S., Miotto, D., Naruse, M., Nishikawa, T., Omura, M., Pimenta, E., Plouin, P.F., Quinkler, M., Reincke, M., Rossi, E., Rump, L.C., Satoh, F., Schultze Kool, L., Seccia, T.M., Stowasser, M., Tanabe, A., Trerotola, S., Vonend, O., Widimsky Jr., J., Wu, K.D., Wu, V.C. and Pessina, A.C. (2012) The Adrenal Vein Sampling International Study (AVIS) for Identifying the Major Subtypes of Primary Aldosteronism. The Journal of Clinical Endocrinology & Metabolism, 97, 1606-1614.
https://doi.org/10.1210/jc.2011-2830
has been cited by the following article:
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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.
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