Adrenal Vein Sampling for Primary Aldosteronism: Recommendations From the Australian and New Zealand Working Group

IF 3 3区医学 Q2 ENDOCRINOLOGY & METABOLISM Clinical Endocrinology Pub Date : 2024-10-03 DOI:10.1111/cen.15139

Jun Yang, Damon A. Bell, Richard Carroll, Cherie Chiang, Diane Cowley, Emma Croker, James C. G. Doery, Marianne Elston, Paul Glendenning, Julie Hetherington, Andrea R. Horvath, Shanshan Lu-Shirzad, Elisabeth Ng, Amanda Mather, Nimalie Perera, Muddassir Rashid, Nirupa Sachithanandan, Jimmy Shen, Michael Stowasser, Michael J. Swarbrick, Hong Lin Evelyn Tan, Moe Thuzar, Simon Young, Winston Chong

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Abstract

Adrenal vein sampling (AVS) is the current recommended procedure for identifying unilateral subtypes of primary aldosteronism (PA), which are amenable to surgery with the potential for cure. AVS is a technically challenging procedure usually undertaken by interventional radiologists at tertiary centres. However, there are numerous variations in AVS protocols relating to patient preparation, sampling techniques and interpretation which may impact the success of AVS and patient care. To reduce practice variations, improve the success rates of AVS and optimise patient outcomes, we established an Australian and New Zealand AVS Working Group and developed evidence-based expert consensus recommendations for the preparation, performance and interpretation of AVS. These recommendations can be used by all healthcare professionals in a multidisciplinary team who look after the diagnosis and management of PA.

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肾上腺静脉取样治疗原发性醛固酮增多症：澳大利亚和新西兰工作组的建议。

肾上腺静脉取样术（AVS）是目前推荐用于鉴别原发性醛固酮增多症（PA）单侧亚型的方法，这种方法适合手术治疗，并有治愈的可能。AVS是一项具有技术挑战性的手术，通常由三级中心的介入放射科医生进行。然而，在患者准备、取样技术和解释方面，AVS 方案存在许多差异，这可能会影响 AVS 的成功和患者护理。为了减少实践中的差异、提高 AVS 的成功率并优化患者的治疗效果，我们成立了澳大利亚和新西兰 AVS 工作组，并针对 AVS 的准备、执行和解释制定了基于证据的专家共识建议。这些建议可供负责 PA 诊断和管理的多学科团队中的所有医护人员使用。

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来源期刊

Clinical Endocrinology 医学-内分泌学与代谢

CiteScore

6.40

自引率

3.10%

发文量

192

审稿时长

1 months

期刊介绍： Clinical Endocrinology publishes papers and reviews which focus on the clinical aspects of endocrinology, including the clinical application of molecular endocrinology. It does not publish papers relating directly to diabetes care and clinical management. It features reviews, original papers, commentaries, correspondence and Clinical Questions. Clinical Endocrinology is essential reading not only for those engaged in endocrinological research but also for those involved primarily in clinical practice.