Strategies for subtyping primary aldosteronism
Copyright © 2023 Formosan Medical Association. Published by Elsevier B.V. All rights reserved..
Adrenal venous sampling (AVS) is a crucial method for the lateralization of primary aldosteronism (PA). It is advised to halt the use of the patient's antihypertensive medications and correct hypokalemia prior to undergoing AVS. Hospitals equipped to conduct AVS should establish their own diagnostic criteria based on current guidelines. If the patient's antihypertensive medications cannot be discontinued, AVS can be performed as long as the serum renin level is suppressed. The Task Force of Taiwan PA recommends using a combination of adrenocorticotropic hormone stimulation, quick cortisol assay, and C-arm cone-beam computed tomography to maximize the success of AVS and minimize errors by using the simultaneous sampling technique. If AVS is not successful, an NP-59 (131 I-6-β-iodomethyl-19-norcholesterol) scan can be used as an alternative method to lateralize PA. We depicted the details of the lateralization procedures (mainly AVS, and alternatively NP-59) and their tips and tricks for confirmed PA patients who would consider to undergo surgical treatment (unilateral adrenalectomy) if the subtyping shows unilateral disease.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:123 Suppl 2 |
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| Enthalten in: |
Journal of the Formosan Medical Association = Taiwan yi zhi - 123 Suppl 2(2024) vom: 03. März, Seite S114-S124 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Yang, Yun-Hsuan [VerfasserIn] |
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| Links: |
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| Themen: |
4964P6T9RB |
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| Anmerkungen: |
Date Completed 12.03.2024 Date Revised 12.03.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.jfma.2023.05.004 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM357047729 |
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| 520 | |a Adrenal venous sampling (AVS) is a crucial method for the lateralization of primary aldosteronism (PA). It is advised to halt the use of the patient's antihypertensive medications and correct hypokalemia prior to undergoing AVS. Hospitals equipped to conduct AVS should establish their own diagnostic criteria based on current guidelines. If the patient's antihypertensive medications cannot be discontinued, AVS can be performed as long as the serum renin level is suppressed. The Task Force of Taiwan PA recommends using a combination of adrenocorticotropic hormone stimulation, quick cortisol assay, and C-arm cone-beam computed tomography to maximize the success of AVS and minimize errors by using the simultaneous sampling technique. If AVS is not successful, an NP-59 (131 I-6-β-iodomethyl-19-norcholesterol) scan can be used as an alternative method to lateralize PA. We depicted the details of the lateralization procedures (mainly AVS, and alternatively NP-59) and their tips and tricks for confirmed PA patients who would consider to undergo surgical treatment (unilateral adrenalectomy) if the subtyping shows unilateral disease | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Review | |
| 650 | 4 | |a Adrenal hyperplasia | |
| 650 | 4 | |a Adrenocortical adenoma | |
| 650 | 4 | |a Aldosterone | |
| 650 | 4 | |a Cortisol | |
| 650 | 4 | |a Hyperaldosteronism | |
| 650 | 7 | |a Aldosterone |2 NLM | |
| 650 | 7 | |a 4964P6T9RB |2 NLM | |
| 650 | 7 | |a Antihypertensive Agents |2 NLM | |
| 650 | 7 | |a Adosterol |2 NLM | |
| 650 | 7 | |a 55623-03-5 |2 NLM | |
| 700 | 1 | |a Chang, Yu-Ling |e verfasserin |4 aut | |
| 700 | 1 | |a Lee, Bo-Ching |e verfasserin |4 aut | |
| 700 | 1 | |a Lu, Ching-Chu |e verfasserin |4 aut | |
| 700 | 1 | |a Wang, Wei-Ting |e verfasserin |4 aut | |
| 700 | 1 | |a Hu, Ya-Hui |e verfasserin |4 aut | |
| 700 | 1 | |a Liu, Han-Wen |e verfasserin |4 aut | |
| 700 | 1 | |a Lin, Yung-Hsiang |e verfasserin |4 aut | |
| 700 | 1 | |a Chang, Chin-Chen |e verfasserin |4 aut | |
| 700 | 1 | |a Wu, Wan-Chen |e verfasserin |4 aut | |
| 700 | 1 | |a Tseng, Fen-Yu |e verfasserin |4 aut | |
| 700 | 1 | |a Lin, Yen-Hung |e verfasserin |4 aut | |
| 700 | 1 | |a Wu, Vin-Cent |e verfasserin |4 aut | |
| 700 | 1 | |a Hwu, Chii-Min |e verfasserin |4 aut | |
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