Clinical Determinants of Adrenal Vein Sampling Success
Summary
Background
Methods
Radiological imaging
Adrenal vein sampling
Samples
Selectivity and lateralisation indexes
Statistic analysis
Results
CT and MRI results
AVS success rate and clinical determinants
Comparison between AVS and adrenal imaging
Surgery and histopathological results (Table 4)
Adrenalectomy (n) | 48% (30/68) |
Right adrenalectomy | 40%(12/30) |
Left adrenalectomy | 60% (18/30) |
Histology reports (n) | 30/30 |
Adrenal adenoma | 74% |
Adrenal hyperplasia | 20% |
Normal adrenal | 7% |
Discussion
AVS and CT/MRI adrenal imaging discrepancies
Limitations
Conclusion
Disclosure statement
References
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n (found) | ||
Gender, male/female | 35/33 | 68 |
Age, years | 47.2 ± 12.1 | 68 |
BMI, kg/m2 | 29 ± 5.6 | 66 |
Potassium, mmol/l | 3.26 ± 0.55 | 66 |
Creatinine, mmol/l | 75.5 ± 18.1 | 63 |
Office SBP, mm Hg | 169 ± 28 | 25 |
Office DBP, mm Hg | 105 ± 14 | 25 |
Number of antihypertensive drugs | 2.1 ± 1.2 | 68 |
PRA, ng/ml/h | 0.06 [0.04; 0.24] | 44 |
PAC, pg/ml | 250 [190; 442] | 39 |
Success | |
Age | 0.18 (0.15) |
Sex | 0.36 (0.0039) |
BMI | 0.54 (0.0001) |
Office SBP | 0.17 (0.42) |
Office DBP | 0.026 (0.90) |
Creatinine | 0.25 (0.048) |
Potassium | 0.22 (0.080) |
ARR | 0.24 (0.13) |
Dependant variable | Predictor variables | Coefficient | (95% confidence interval) | p-value |
Bilateral AVS success rate (%) | BMI | 0.048 | (0.016; 0.081) | 0.04 |
Age | –0.0049 | (–0.020; 0.010) | 0.52 | |
Sex | 0.14 | (–0.27; 0.55) | 0.49 | |
Creatinine | 0.0047 | (–0.0057; 0.015) | 0.37 | |
Adjusted R2 = 0.22 |
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Berney, M.; Maillard, M.; Doenz, F.; Matter, M.; Pechère-Bertschi, A.; Burnier, M.; Wuerzner, G. Clinical Determinants of Adrenal Vein Sampling Success. Cardiovasc. Med. 2015, 18, 246. https://doi.org/10.4414/cvm.2015.00352
Berney M, Maillard M, Doenz F, Matter M, Pechère-Bertschi A, Burnier M, Wuerzner G. Clinical Determinants of Adrenal Vein Sampling Success. Cardiovascular Medicine. 2015; 18(9):246. https://doi.org/10.4414/cvm.2015.00352
Chicago/Turabian StyleBerney, Maxime, Marc Maillard, Francesco Doenz, Maurice Matter, Antoinette Pechère-Bertschi, Michel Burnier, and Gregoire Wuerzner. 2015. "Clinical Determinants of Adrenal Vein Sampling Success" Cardiovascular Medicine 18, no. 9: 246. https://doi.org/10.4414/cvm.2015.00352
APA StyleBerney, M., Maillard, M., Doenz, F., Matter, M., Pechère-Bertschi, A., Burnier, M., & Wuerzner, G. (2015). Clinical Determinants of Adrenal Vein Sampling Success. Cardiovascular Medicine, 18(9), 246. https://doi.org/10.4414/cvm.2015.00352