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Updated: Jul 3, 2026
06:08
A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
[Adrenal hypertension].
Pierre-François Plouin1, Laurence Amar, Charlotte Lepoutre-Lussey
1Hôpital européen Georges-Pompidou, unité d'hypertension artérielle, 75908 Paris. pierre-francois.plouin@egp.aphp.fr
La Revue Du Praticien
|August 5, 2008
Summary
Surgically treating adrenal hypertension can cure hypertension in some patients with Conn's adenomas or pheochromocytomas. Screening for primary aldosteronism is recommended for resistant hypertension or hypokalemia.
Area of Science:
- Endocrinology
- Nephrology
- Surgical Oncology
Context:
- Adrenal hypertension, including Conn's adenomas and pheochromocytomas, is a rare but surgically curable cause of hypertension.
- Resistant hypertension and hypokalemia warrant screening for primary aldosteronism.
Purpose:
- To outline diagnostic and surgical management strategies for adrenal hypertension.
- To highlight key screening tests and imaging modalities for identifying adrenal tumors.
Summary:
- Primary aldosteronism screening involves the aldosterone-to-renin ratio, with CT scans and adrenal vein sampling differentiating hyperplasia from adenoma.
- Pheochromocytoma diagnosis relies on metanephrine levels, with imaging techniques like CT and MRI for tumor localization.
- A significant proportion of pheochromocytomas are linked to hereditary conditions.
Impact:
- Identifies specific patient groups who can benefit from surgical intervention for hypertension.
- Provides a framework for the diagnostic workup of secondary hypertension due to adrenal causes.
- Emphasizes the importance of genetic screening in pheochromocytoma cases.
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