Keywords:
Interventional vascular, Veins / Vena cava, Abdomen, Catheter venography, CT-Angiography, Catheters, Venous access, Endocrine disorders, Metabolic disorders
Authors:
R. Britel, P. Roig Egea, J. M. Martinez Riutort, C. Nieto Garcia, D. A. Torres Gamboa, M. A. Martin Martin, A. Hernaez Garcia de la Torre ; Palma de Mallorca/ES
DOI:
10.26044/ecr2019/C-3504
Conclusion
Adrenal vein sampling is essential when considering surgery even if the patient has a CT/MRI with a unilateral macronodule.
MRI / CT showed useful for excluding the aldosterone-producing carcinoma and to provide anatomical information,
such as the location of the adrenal veins for subsequent catheterization,
but insufficient for correct lateralization.
Adrenal vein sampling remains a "gold standard" procedure in differentiation between unilateral and bilateral disease.
The adrenal vein sampling procedure,
preceded by adrenal CT or adrenal MRI,
may be implemented into daily diagnostic practice safely with an excellent success rate.
Patients with bilateral disease should be treated with mineralocorticoid receptor antagonist drugs,
while patients with unilateral disease could be treated with adrenalectomy.
(Figure 21)