A Novel Method of Adrenal Venous Sampling via an Antecubital Approach
Purpose Currently, almost all adrenal venous sampling (AVS) procedures are performed by femoral vein access. The purpose of this study was to establish the technique of AVS via an antecubital approach and evaluate its safety and feasibility. Materials and Methods From January 2012 to June 2015, 194...
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| Veröffentlicht in: | Cardiovascular and interventional radiology 2017-03, Vol.40 (3), p.388-393 |
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| creator | Jiang, Xiongjing Dong, Hui Peng, Meng Che, Wuqiang Zou, Yubao Song, Lei Zhang, Huimin Wu, Haiying |
| description | Purpose
Currently, almost all adrenal venous sampling (AVS) procedures are performed by femoral vein access. The purpose of this study was to establish the technique of AVS via an antecubital approach and evaluate its safety and feasibility.
Materials and Methods
From January 2012 to June 2015, 194 consecutive patients diagnosed as primary aldosteronism underwent AVS via an antecubital approach without ACTH simulation. Catheters used for bilateral adrenal cannulations were recorded. The success rate of bilateral adrenal sampling, operation time, fluoroscopy time, dosage of contrast, and incidence of complications were calculated.
Results
A 5F MPA1 catheter was first used to attempt right adrenal cannulation in all patients. Cannulation of the right adrenal vein was successfully performed in 164 (84.5%) patients. The 5F JR5, Cobra2, and TIG catheters were the ultimate catheters for right adrenal cannulation in 16 (8.2%), 5 (2.6%), and 9 (4.6%) patients, respectively. For left adrenal cannulation, JR5 and Cobra2 catheters were used in 19 (9.8%) and 10 (5.2%) patients, respectively, while only TIG catheters were used in the remaining 165 (85.1%) patients. The rate of successful adrenal sampling on the right, left, and bilateral sides was 91.8%, 93.3%, and 87.6%, respectively. The mean time of operation was (16.3 ± 4.3) minutes, mean fluoroscopy time was (4.7 ± 1.3) minutes, and the mean use of contrast was (14.3 ± 4.7) ml. The incidence of adrenal hematoma was 1.0%.
Conclusions
This study showed that AVS via an antecubital approach was safe and feasible, with a high rate of successful sampling. |
| doi_str_mv | 10.1007/s00270-016-1524-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_osti_</sourceid><recordid>TN_cdi_osti_scitechconnect_22645301</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4312407291</sourcerecordid><originalsourceid>FETCH-LOGICAL-c433t-9a67faad565dcb4e78f7997b376544a7bd91bb6bcfcc00ac0194f54e91ed7a8e3</originalsourceid><addsrcrecordid>eNqNkc1O3TAQRi1UBBfaB-imstRNN4Hxf7KMEAUkaBelVXeW40y4Qbn2bZwgeHsMobSbSl15MWe-mfEh5D2DIwZgjhMAN1AA0wVTXBb3O2TFpOAFlPrnG7ICZmSuKLZPDlK6BWCq5GqP7HNTCSGMWpHTmn6JdzjQK5zWsaWxo3U7YnAD_YEhzol-c5vt0Icbetc76gKtw4R-bvopI_V2O0bn12_JbueGhO9e3kPy_fPp9cl5cfn17OKkviy8FGIqKqdN51yrtGp9I9GUnakq0wijlZTONG3FmkY3vvMewHlgleyUxIpha1yJ4pB8XHJjmnqbfJ9XWfsYAvrJcq6lEsAy9Wmh8nK_ZkyT3fTJ4zC4gPkiy0pdCtAc9H-g0pQVKG3-zH5Fb-M85o96DlRccyFUpthC-TGmNGJnt2O_ceODZWCfpNlFms3S7JM0e597Prwkz80G29eO35YywBcg5VK4wfGv0f9MfQQNY5_T</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1865262335</pqid></control><display><type>article</type><title>A Novel Method of Adrenal Venous Sampling via an Antecubital Approach</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Jiang, Xiongjing ; Dong, Hui ; Peng, Meng ; Che, Wuqiang ; Zou, Yubao ; Song, Lei ; Zhang, Huimin ; Wu, Haiying</creator><creatorcontrib>Jiang, Xiongjing ; Dong, Hui ; Peng, Meng ; Che, Wuqiang ; Zou, Yubao ; Song, Lei ; Zhang, Huimin ; Wu, Haiying</creatorcontrib><description>Purpose
Currently, almost all adrenal venous sampling (AVS) procedures are performed by femoral vein access. The purpose of this study was to establish the technique of AVS via an antecubital approach and evaluate its safety and feasibility.
Materials and Methods
From January 2012 to June 2015, 194 consecutive patients diagnosed as primary aldosteronism underwent AVS via an antecubital approach without ACTH simulation. Catheters used for bilateral adrenal cannulations were recorded. The success rate of bilateral adrenal sampling, operation time, fluoroscopy time, dosage of contrast, and incidence of complications were calculated.
Results
A 5F MPA1 catheter was first used to attempt right adrenal cannulation in all patients. Cannulation of the right adrenal vein was successfully performed in 164 (84.5%) patients. The 5F JR5, Cobra2, and TIG catheters were the ultimate catheters for right adrenal cannulation in 16 (8.2%), 5 (2.6%), and 9 (4.6%) patients, respectively. For left adrenal cannulation, JR5 and Cobra2 catheters were used in 19 (9.8%) and 10 (5.2%) patients, respectively, while only TIG catheters were used in the remaining 165 (85.1%) patients. The rate of successful adrenal sampling on the right, left, and bilateral sides was 91.8%, 93.3%, and 87.6%, respectively. The mean time of operation was (16.3 ± 4.3) minutes, mean fluoroscopy time was (4.7 ± 1.3) minutes, and the mean use of contrast was (14.3 ± 4.7) ml. The incidence of adrenal hematoma was 1.0%.
Conclusions
This study showed that AVS via an antecubital approach was safe and feasible, with a high rate of successful sampling.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-016-1524-x</identifier><identifier>PMID: 27933375</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>ACTH ; Adolescent ; Adrenal Glands - blood supply ; Adult ; Cardiology ; Catheterization - methods ; Catheters ; Clinical Investigation ; DIAGNOSIS ; Female ; FLUOROSCOPY ; HEMATOMAS ; Humans ; Hyperaldosteronism - diagnosis ; Imaging ; Male ; MATERIALS ; Medicine ; Medicine & Public Health ; Middle Aged ; Nuclear Medicine ; OPERATION ; PATIENTS ; Radiology ; RADIOLOGY AND NUCLEAR MEDICINE ; Retrospective Studies ; SAFETY ; SAMPLING ; SIMULATION ; Ultrasound ; VEINS ; Young Adult</subject><ispartof>Cardiovascular and interventional radiology, 2017-03, Vol.40 (3), p.388-393</ispartof><rights>Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2016</rights><rights>CardioVascular and Interventional Radiology is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c433t-9a67faad565dcb4e78f7997b376544a7bd91bb6bcfcc00ac0194f54e91ed7a8e3</citedby><cites>FETCH-LOGICAL-c433t-9a67faad565dcb4e78f7997b376544a7bd91bb6bcfcc00ac0194f54e91ed7a8e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00270-016-1524-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00270-016-1524-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27933375$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/22645301$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Jiang, Xiongjing</creatorcontrib><creatorcontrib>Dong, Hui</creatorcontrib><creatorcontrib>Peng, Meng</creatorcontrib><creatorcontrib>Che, Wuqiang</creatorcontrib><creatorcontrib>Zou, Yubao</creatorcontrib><creatorcontrib>Song, Lei</creatorcontrib><creatorcontrib>Zhang, Huimin</creatorcontrib><creatorcontrib>Wu, Haiying</creatorcontrib><title>A Novel Method of Adrenal Venous Sampling via an Antecubital Approach</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><description>Purpose
Currently, almost all adrenal venous sampling (AVS) procedures are performed by femoral vein access. The purpose of this study was to establish the technique of AVS via an antecubital approach and evaluate its safety and feasibility.
Materials and Methods
From January 2012 to June 2015, 194 consecutive patients diagnosed as primary aldosteronism underwent AVS via an antecubital approach without ACTH simulation. Catheters used for bilateral adrenal cannulations were recorded. The success rate of bilateral adrenal sampling, operation time, fluoroscopy time, dosage of contrast, and incidence of complications were calculated.
Results
A 5F MPA1 catheter was first used to attempt right adrenal cannulation in all patients. Cannulation of the right adrenal vein was successfully performed in 164 (84.5%) patients. The 5F JR5, Cobra2, and TIG catheters were the ultimate catheters for right adrenal cannulation in 16 (8.2%), 5 (2.6%), and 9 (4.6%) patients, respectively. For left adrenal cannulation, JR5 and Cobra2 catheters were used in 19 (9.8%) and 10 (5.2%) patients, respectively, while only TIG catheters were used in the remaining 165 (85.1%) patients. The rate of successful adrenal sampling on the right, left, and bilateral sides was 91.8%, 93.3%, and 87.6%, respectively. The mean time of operation was (16.3 ± 4.3) minutes, mean fluoroscopy time was (4.7 ± 1.3) minutes, and the mean use of contrast was (14.3 ± 4.7) ml. The incidence of adrenal hematoma was 1.0%.
Conclusions
This study showed that AVS via an antecubital approach was safe and feasible, with a high rate of successful sampling.</description><subject>ACTH</subject><subject>Adolescent</subject><subject>Adrenal Glands - blood supply</subject><subject>Adult</subject><subject>Cardiology</subject><subject>Catheterization - methods</subject><subject>Catheters</subject><subject>Clinical Investigation</subject><subject>DIAGNOSIS</subject><subject>Female</subject><subject>FLUOROSCOPY</subject><subject>HEMATOMAS</subject><subject>Humans</subject><subject>Hyperaldosteronism - diagnosis</subject><subject>Imaging</subject><subject>Male</subject><subject>MATERIALS</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nuclear Medicine</subject><subject>OPERATION</subject><subject>PATIENTS</subject><subject>Radiology</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>Retrospective Studies</subject><subject>SAFETY</subject><subject>SAMPLING</subject><subject>SIMULATION</subject><subject>Ultrasound</subject><subject>VEINS</subject><subject>Young Adult</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkc1O3TAQRi1UBBfaB-imstRNN4Hxf7KMEAUkaBelVXeW40y4Qbn2bZwgeHsMobSbSl15MWe-mfEh5D2DIwZgjhMAN1AA0wVTXBb3O2TFpOAFlPrnG7ICZmSuKLZPDlK6BWCq5GqP7HNTCSGMWpHTmn6JdzjQK5zWsaWxo3U7YnAD_YEhzol-c5vt0Icbetc76gKtw4R-bvopI_V2O0bn12_JbueGhO9e3kPy_fPp9cl5cfn17OKkviy8FGIqKqdN51yrtGp9I9GUnakq0wijlZTONG3FmkY3vvMewHlgleyUxIpha1yJ4pB8XHJjmnqbfJ9XWfsYAvrJcq6lEsAy9Wmh8nK_ZkyT3fTJ4zC4gPkiy0pdCtAc9H-g0pQVKG3-zH5Fb-M85o96DlRccyFUpthC-TGmNGJnt2O_ceODZWCfpNlFms3S7JM0e597Prwkz80G29eO35YywBcg5VK4wfGv0f9MfQQNY5_T</recordid><startdate>20170301</startdate><enddate>20170301</enddate><creator>Jiang, Xiongjing</creator><creator>Dong, Hui</creator><creator>Peng, Meng</creator><creator>Che, Wuqiang</creator><creator>Zou, Yubao</creator><creator>Song, Lei</creator><creator>Zhang, Huimin</creator><creator>Wu, Haiying</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7U7</scope><scope>C1K</scope><scope>OTOTI</scope></search><sort><creationdate>20170301</creationdate><title>A Novel Method of Adrenal Venous Sampling via an Antecubital Approach</title><author>Jiang, Xiongjing ; 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Currently, almost all adrenal venous sampling (AVS) procedures are performed by femoral vein access. The purpose of this study was to establish the technique of AVS via an antecubital approach and evaluate its safety and feasibility.
Materials and Methods
From January 2012 to June 2015, 194 consecutive patients diagnosed as primary aldosteronism underwent AVS via an antecubital approach without ACTH simulation. Catheters used for bilateral adrenal cannulations were recorded. The success rate of bilateral adrenal sampling, operation time, fluoroscopy time, dosage of contrast, and incidence of complications were calculated.
Results
A 5F MPA1 catheter was first used to attempt right adrenal cannulation in all patients. Cannulation of the right adrenal vein was successfully performed in 164 (84.5%) patients. The 5F JR5, Cobra2, and TIG catheters were the ultimate catheters for right adrenal cannulation in 16 (8.2%), 5 (2.6%), and 9 (4.6%) patients, respectively. For left adrenal cannulation, JR5 and Cobra2 catheters were used in 19 (9.8%) and 10 (5.2%) patients, respectively, while only TIG catheters were used in the remaining 165 (85.1%) patients. The rate of successful adrenal sampling on the right, left, and bilateral sides was 91.8%, 93.3%, and 87.6%, respectively. The mean time of operation was (16.3 ± 4.3) minutes, mean fluoroscopy time was (4.7 ± 1.3) minutes, and the mean use of contrast was (14.3 ± 4.7) ml. The incidence of adrenal hematoma was 1.0%.
Conclusions
This study showed that AVS via an antecubital approach was safe and feasible, with a high rate of successful sampling.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>27933375</pmid><doi>10.1007/s00270-016-1524-x</doi><tpages>6</tpages></addata></record> |
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| subjects | ACTH Adolescent Adrenal Glands - blood supply Adult Cardiology Catheterization - methods Catheters Clinical Investigation DIAGNOSIS Female FLUOROSCOPY HEMATOMAS Humans Hyperaldosteronism - diagnosis Imaging Male MATERIALS Medicine Medicine & Public Health Middle Aged Nuclear Medicine OPERATION PATIENTS Radiology RADIOLOGY AND NUCLEAR MEDICINE Retrospective Studies SAFETY SAMPLING SIMULATION Ultrasound VEINS Young Adult |
| title | A Novel Method of Adrenal Venous Sampling via an Antecubital Approach |
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