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Updated: Jan 5, 2026
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A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
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Adrenal Venous Sampling: Where Do We Stand?
Gian Paolo Rossi1, Giuseppe Maiolino2, Teresa M Seccia2
1Arterial Hypertension Unit, Clinica dell'Ipertensione Arteriosa, Department of Medicine, DIMED University Hospital, University of Padova, Via Giustiniani, 2, Padova 35126, Italy.
Endocrinology and Metabolism Clinics of North America
|October 28, 2019
Summary
Adrenal venous sampling is crucial for diagnosing primary aldosteronism but is underused. This review clarifies its indications, performance, and interpretation for better clinical application.
Area of Science:
- Endocrinology
- Interventional Radiology
Background:
- Primary aldosteronism is a common cause of secondary hypertension.
- Adrenal venous sampling (AVS) is the gold standard for identifying surgically curable cases.
- AVS is underutilized due to perceived technical difficulty and interpretation challenges.
Purpose of the Study:
- To provide updated information on adrenal venous sampling.
- To clarify current indications for AVS.
- To guide the performance and interpretation of AVS.
Main Methods:
- Literature review of current guidelines and evidence.
- Synthesis of information on AVS techniques.
- Analysis of interpretation criteria for AVS.
Main Results:
- Detailed review of indications for AVS in primary aldosteronism.
- Step-by-step guide on performing AVS.
- Explanation of key parameters for interpreting AVS results.
Conclusions:
- Adrenal venous sampling is essential for curative treatment of primary aldosteronism.
- This review aims to demystify AVS, encouraging its wider clinical adoption.
- Improved understanding of AVS indications and interpretation can enhance patient outcomes.
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