The Long-term Effect of Adrenal Arterial Embolization for Unilateral Primary Aldosteronism on Cardiorenovascular Protection, Blood Pressure, and the Endocrinological Profile

Primary aldosteronism (PA) is a major cause of secondary hypertension, divided into two subtypes: unilateral and bilateral. Unilateral PA (u-PA) is surgically-curable. Medical treatment with mineralocorticoid receptors antagonists is recommended as a second-line treatment when the patients are not c...

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Veröffentlicht in:Internal Medicine 2016, Vol.55(7), pp.769-773
Hauptverfasser: Kometani, Mitsuhiro, Yoneda, Takashi, Demura, Masashi, Karashima, Shigehiro, Mori, Shunsuke, Oe, Masashi, Sawamura, Toshitaka, Okuda, Rika, Yamagishi, Masakazu, Takeda, Yoshiyu
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container_end_page 773
container_issue 7
container_start_page 769
container_title Internal Medicine
container_volume 55
creator Kometani, Mitsuhiro
Yoneda, Takashi
Demura, Masashi
Karashima, Shigehiro
Mori, Shunsuke
Oe, Masashi
Sawamura, Toshitaka
Okuda, Rika
Yamagishi, Masakazu
Takeda, Yoshiyu
description Primary aldosteronism (PA) is a major cause of secondary hypertension, divided into two subtypes: unilateral and bilateral. Unilateral PA (u-PA) is surgically-curable. Medical treatment with mineralocorticoid receptors antagonists is recommended as a second-line treatment when the patients are not candidate for surgical treatment. The present case was a 39-year-old woman with u-PA, who had refused surgery, had suffered from adverse effects of medical treatment. She was treated with transcatheter adrenal arterial embolization (TAAE). Her blood pressure had been well controlled without progression of cardiorenovascular damage for 12 years. TAAE can be the third treatment option for u-PA patients.
doi_str_mv 10.2169/internalmedicine.55.5196
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source MEDLINE; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; PubMed Central; PubMed Central Open Access
subjects adrenal arterial embolization
Adult
Blood Pressure - drug effects
Embolization, Therapeutic - methods
Female
Humans
Hyperaldosteronism - complications
Hyperaldosteronism - metabolism
Hyperaldosteronism - physiopathology
Hyperaldosteronism - therapy
Mineralocorticoid Receptor Antagonists - therapeutic use
primary aldosteronism
Treatment Outcome
title The Long-term Effect of Adrenal Arterial Embolization for Unilateral Primary Aldosteronism on Cardiorenovascular Protection, Blood Pressure, and the Endocrinological Profile
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