相关实验视频
Updated: Sep 12, 2025

06:08
A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
23.6K
在一次性阿尔多斯特隆症中,成功取取上腺静脉样本,在一个具有附加肝静脉排水的解剖变体中
Alexander Becher1, Christoph Gerhard Lisson2, Roza Sabia1
1Internal Medicine I, Ulm University Hospital, Ulm, Baden-Wuerttemberg, Germany.
BMJ case reports
|August 4, 2025
概括
上腺静脉采样对于诊断原发性阿尔多斯特隆症至关重要,但解剖学变异可能会使程序复杂化. 这一案例突出了尽管罕见的肝静脉排水,但成功的导管,强调了需要精确的成像和技术.
科学领域:
- 内分泌学 在内分泌学.
- 干预性放射学 干预性放射学
- 心血管医学 心血管医学
背景情况:
- 主要的阿尔多斯特主义会在10%到12%的患者中引起二次高血压.
- 过度生产阿尔多的侧面化发生在三分之一的病例中,通常来自腺瘤.
- 截面成像很难区分活跃的腺瘤和非活跃的腺瘤,使诊断复杂化.
研究的目的:
- 报告一个具有挑战性的上腺静脉采样在原发性阿尔多斯特隆症的案例.
- 为了描述中央上腺静脉的成功导管化,尽管有辅助性肝静脉排水.
- 强调预干预成像和专业技术的重要性.
主要方法:
- 在一个患有原发性阿尔多斯特主义的男性患者身上进行了上腺静脉采样.
- 这项手术使用了一种罕见的解剖学变体:辅助性肝静脉排水.
- 取得了成功的中央上腺静脉导管.
主要成果:
- 该案例表明,在存在具有挑战性的解剖变异的情况下,成功取下上腺静脉样本.
- 该研究强调了克服上腺静脉采样技术困难的可行性.
- 实现了阿尔多激素过度产生的精确局部化.
结论:
- 上腺静脉采样是一种可靠的方法,用于侧面化阿尔多素的生产.
- 罕见的解剖变异需要仔细的手术前成像和量身定制的干预技术.
- 在复杂的病例中成功采样对于指导原发性阿尔多斯特隆症的治疗至关重要.
相关概念视频
Hemodialysis I: Introduction
293
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
293
Veins of Thorax
1.2K
The azygos system is a crucial part of the body's circulatory system and drains most of the thorax. It comprises the azygos, hemiazygos, and accessory hemiazygos veins.
The azygos vein, positioned just right of the midline and anterior to the vertebral column, begins at the junction of the right ascending lumbar and subcostal veins, terminating in the superior vena cava. This vein drains blood from the right side of the thoracic wall, thoracic viscera, and posterior abdominal wall.
The...
The azygos vein, positioned just right of the midline and anterior to the vertebral column, begins at the junction of the right ascending lumbar and subcostal veins, terminating in the superior vena cava. This vein drains blood from the right side of the thoracic wall, thoracic viscera, and posterior abdominal wall.
The...
1.2K
Anatomy of the Adrenal Glands
2.6K
The adrenal or supra-renal glands, situated above the kidneys and aligned with the twelfth rib, are paired pyramid-shaped structures crucial for the body's stress response. During stress, these glands secrete hormones vital for adaptive physiological reactions.
These glands possess a distinctive yellow tinge due to the stored cholesterol and fatty acids required for hormone synthesis. They are encased in a fibrous capsule and cushioned by fat.
The adrenal gland comprises two distinct...
These glands possess a distinctive yellow tinge due to the stored cholesterol and fatty acids required for hormone synthesis. They are encased in a fibrous capsule and cushioned by fat.
The adrenal gland comprises two distinct...
2.6K
Veins of the Abdomen and Pelvis
951
The human body is a complex system of interconnected parts, and the circulatory system plays a crucial role in maintaining overall health. One key component of this system is the inferior vena cava, a large vein responsible for returning blood from the abdominopelvic viscera and abdominal walls to the heart.
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
951
Overview of Systemic Veins
703
Systemic veins are crucial blood vessels that return deoxygenated blood from various body tissues back to the heart. There are three systemic veins that return deoxygenated blood to the heart, they are as follows.
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the...
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the...
703
Adrenal Gland Disorders
1.8K
Adrenal gland disorders manifest when the production of adrenal hormones deviates from the norm, resulting in either excessive or insufficient concentrations.
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
1.8K

