Palmowski M, Mühlenbruch G, Grouls C, Günther R W
Klinik für Radiologische Diagnostik, Universitätsklinikum RWTH Aachen, Pauwelsstraße 30, 52074 Aachen.
Rofo. 2011 Feb;183(2):167-70. doi: 10.1055/s-0029-1245588. Epub 2010 Aug 19.
In Conn's syndrome, adrenal vein sampling (AVS) is used to secure the site of hormonal overproduction. The left adrenal vein is usually easy to explore, the right is difficult. Examination requires several differently configured catheters. Here, we introduce a new technique for AVS using a single cobra catheter, which was tested in n = 13 patients. In an inverted configuration, the cobra catheter can be used to explore the left side, while the regular configuration can be used for the right side. The technical details are described in the manuscript. In all patients, left AVS could be performed successfully using the inverted catheter configuration. In n = 11 patients, right AVS was carried out successfully with a cobra catheter in regular configuration. In two cases, a Sidewinder-I catheter was required due to a steep angle of the adrenal vein.
在原发性醛固酮增多症（Conn综合征）中，肾上腺静脉采血（AVS）用于确定激素过度分泌的部位。左肾上腺静脉通常易于探查，而右肾上腺静脉则较难。检查需要几种不同构型的导管。在此，我们介绍一种使用单个眼镜蛇导管进行AVS的新技术，该技术在13例患者中进行了测试。在倒置构型下，眼镜蛇导管可用于探查左侧，而常规构型可用于右侧。技术细节在文稿中进行了描述。在所有患者中，使用倒置导管构型均成功完成了左肾上腺静脉采血。在11例患者中，使用常规构型的眼镜蛇导管成功完成了右肾上腺静脉采血。在2例患者中，由于肾上腺静脉角度陡峭，需要使用Sidewinder-I导管。
