https://scholars.lib.ntu.edu.tw/handle/123456789/631502
標題: | Strategies for subtyping primary aldosteronism | 作者: | Yang, Yun-Hsuan Chang, Yu-Ling BO-CHING LEE CHING-CHU LU Wang, Wei-Ting Hu, Ya-Hui Liu, Han-Wen Lin, Yung-Hsiang CHIN-CHEN CHANG WAN-CHEN WU FEN-YU TSENG YEN-HUNG LIN VIN-CENT WU Hwu, Chii-Min |
關鍵字: | Adrenal hyperplasia; Adrenocortical adenoma; Aldosterone; Cortisol; Hyperaldosteronism | 公開日期: | 2024 | 卷: | 123 | 起(迄)頁: | S114 | 來源出版物: | Journal of the Formosan Medical Association = Taiwan yi zhi | 摘要: | Adrenal venous sampling (AVS) is a crucial method for the lateralization of primary aldosteronism (PA). It is advised to halt the use of the patient's antihypertensive medications and correct hypokalemia prior to undergoing AVS. Hospitals equipped to conduct AVS should establish their own diagnostic criteria based on current guidelines. If the patient's antihypertensive medications cannot be discontinued, AVS can be performed as long as the serum renin level is suppressed. The Task Force of Taiwan PA recommends using a combination of adrenocorticotropic hormone stimulation, quick cortisol assay, and C-arm cone-beam computed tomography to maximize the success of AVS and minimize errors by using the simultaneous sampling technique. If AVS is not successful, an NP-59 (131 I-6-β-iodomethyl-19-norcholesterol) scan can be used as an alternative method to lateralize PA. We depicted the details of the lateralization procedures (mainly AVS, and alternatively NP-59) and their tips and tricks for confirmed PA patients who would consider to undergo surgical treatment (unilateral adrenalectomy) if the subtyping shows unilateral disease. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/631502 | ISSN: | 0929-6646 | DOI: | 10.1016/j.jfma.2023.05.004 |
顯示於: | 醫學系 |
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