Open AccessLimited diagnostic utility of partially successful adrenal vein sampling for primary aldosteronism subtyping
Author(s) -
Tomaž Kocjan,
Gaj Vidmar,
Rok Vrckovnik,
Milenko Stanković
Publication year - 2021
Publication title -
endokrynologia polska
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.413
H-Index - 27
eISSN - 2299-8306
pISSN - 0423-104X
DOI - 10.5603/ep.a2021.0030
Subject(s) - primary aldosteronism , medicine , adrenalectomy , inferior vena cava , cohort , interquartile range , radiology , retrospective cohort study , surgery , aldosterone
Failure of adrenal vein sampling (AVS) due to difficult cannulation of the right adrenal vein (AV) frequently precludes subtyping of patients with primary aldosteronism (PA) before adrenalectomy. According to a recent study, lateralized PA could be accurately predicted from partial AVS data based on the gradient of the aldosterone-to-cortisol ratios (ACR) between left AV and inferior vena cava (IVC) (LAV/IVC index). We aimed to validate the diagnostic utility of this index for PA subtyping in our cohort.