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Unilaterally Selective Adrenal Vein Sampling for Identification of Surgically Curable Primary Aldosteronism
GP. Rossi, D. Bagordo, L. Amar, M. Azizi, A. Riester, M. Reincke, C. Degenhart, J. Widimský, M. Naruse, J. Deinum, T. Kocjan, A. Negro, E. Rossi, G. Kline, A. Tanabe, F. Satoh, LC. Rump, O. Vonend, HS. Willenberg, PJ. Fuller, J. Yang, NYN. Chee,...
Jazyk angličtina Země Spojené státy americké
Typ dokumentu klinická studie, časopisecké články, práce podpořená grantem
NLK
Free Medical Journals
od 1979 do Před 1 rokem
Open Access Digital Library
od 1979-01-01
Open Access Digital Library
od 1979-01-01
- MeSH
- adrenalektomie MeSH
- aldosteron * MeSH
- hyperaldosteronismus * diagnóza chirurgie MeSH
- lidé MeSH
- nadledviny krevní zásobení MeSH
- retrospektivní studie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- klinická studie MeSH
- práce podpořená grantem MeSH
BACKGROUND: Adrenal venous sampling is recommended for the identification of unilateral surgically curable primary aldosteronism but is often clinically useless, owing to failed bilateral adrenal vein cannulation. OBJECTIVES: To investigate if only unilaterally selective adrenal vein sampling studies can allow the identification of the responsible adrenal. METHODS: Among 1625 patients consecutively submitted to adrenal vein sampling in tertiary referral centers, we selected those with selective adrenal vein sampling results in at least one side; we used surgically cured unilateral primary aldosteronism as gold reference. The accuracy of different values of the relative aldosterone secretion index (RASI), which estimates the amount of aldosterone produced in each adrenal gland corrected for catheterization selectivity, was examined. RESULTS: We found prominent differences in RASI values distribution between patients with and without unilateral primary aldosteronism. The diagnostic accuracy of RASI values estimated by the area under receiver operating characteristic curves was 0.714 and 0.855, respectively, in the responsible and the contralateral side; RASI values >2.55 and ≤0.96 on the former and the latter side furnished the highest accuracy for detection of surgically cured unilateral primary aldosteronism. Moreover, in the patients without unilateral primary aldosteronism, only 20% and 16% had RASI values ≤0.96 and >2.55. CONCLUSIONS: With the strength of a large real-life data set and use of the gold reference entailing an unambiguous diagnosis of unilateral primary aldosteronism, these results indicate the feasibility of identifying unilateral primary aldosteronism using unilaterally selective adrenal vein sampling results. REGISTRATION: URL: https://www. CLINICALTRIALS: gov; Unique identifier: NCT01234220.
AP HP Hôpital Européen Georges Pompidou Hypertension Unit F 75015 Paris France
Department of Diabetes Endocrinology and Metabolism National Center for Global Health and Medicine
Department of Endocrinology University of St Petersburg Russia
Department of Internal Medicine Radboud University Medical Center Nijmegen The Netherlands
Department of Medical Imaging National Taiwan University Hospital Taipei
Department of Nephrology Endocrinology and Vascular Medicine Tohoku University Hospital Sendai Japan
Division of Endocrinology and Metabolism Rostock University Medical Center Rostock Germany
Endocrinology Center North Hills Health Center Medical College of Wisconsin Menomonee Falls
Endocrinology in Charlottenburg Berlin Germany
Faculty of Medicine University of Ljubljana Ljubljana Slovenia
Foothills Medical Centre University of Calgary Canada
Hypertension Unit Department of Medicine DIMED University Hospital University of Padova Italy
Hypertension Unit Nephrology Department Hospital del Mar Universitat Pompeu Fabra Barcelona Spain
Institute of Cardiovascular and Medical Sciences University of Glasgow United Kingdom
Institute of Radiology University of Padua Padova Italy
Medizinische Klinik und Poliklinik 4 Klinikum der Universität München LMU München Germany
Monash Health Clayton VIC Australia
National Taiwan University College of Medicine Taipei
Université Paris Cité INSERM UMRS 970 and CIC1418 F 75015 Paris France
Citace poskytuje Crossref.org
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