Georgiades C, Kharlip J, Valdeig S, Wacker F K, Hong K
Russell H. Morgan Department of Radiology and Radiological Science, Division of Vascular and Interventional Radiology, Johns Hopkins Outpatient Center, 601 North Caroline Street, Baltimore, MD 21287-0851, USA.
Radiologe. 2009 Sep;49(9):848-51. doi: 10.1007/s00117-009-1865-4.
Primary hyperaldosteronism is the most common curable cause of hypertension with a prevalence of up to 12% among patients with hypertension. Selective blood sampling from adrenal veins is considered the diagnostic gold standard. However, it is underutilized due to the high technical failure rate. The use of C-arm CT during the sampling procedure can reduce or even eliminate this failure rate. If adrenal vein sampling is augmented by native C-arm CT to check for the correct catheter position, the technical success rate increases substantially. General use of this technique will result in correct diagnosis and treatment for patients with primary hyperaldosteronism.
原发性醛固酮增多症是高血压最常见的可治愈病因,在高血压患者中的患病率高达12%。肾上腺静脉选择性采血被认为是诊断的金标准。然而,由于技术失败率高,该方法未得到充分利用。在采样过程中使用C臂CT可以降低甚至消除这种失败率。如果通过原生C臂CT辅助肾上腺静脉采样以检查导管位置是否正确,技术成功率将大幅提高。广泛应用该技术将使原发性醛固酮增多症患者得到正确的诊断和治疗。