過去1年間に経験した原発性アルドステロン症の6例(原発性アルドステロン症診断の進歩-ACTH負荷副腎静脈サンプリング法の診断的意義,副腎静脈サンプリング研究会)

概要

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We performed adrenal venous sampling (AVS) with measurement of plasma aldosterone concentration (PAC) in patients with primary aldosteronism for differential diagnosis of aldosteroneproducing adrenal adenoma and idiopathic aldosteronism in a past year. The selective and bilateral catheterization into adrenal veins was unsuccessful in four of six patients. Therefore, we tried to diagnose using PAC taken from sides other than unsuccessful side, magnetic resonance image (MRI), or computed tomography (CT). In a patient, we could not find any nodules on CT and MRI, and AVS was failed. Therefore, we could not get the final diagnosis. We conclude that the performance of AVS should be improved.
東京女子医科大学の論文
2003-11-25