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一名左位下腔静脉患者的肾上腺静脉采血

Adrenal venous sampling in a patient with left inferior vena cava.

作者信息

Fujii Yuichi, Ueda Tomohiro, Uchimura Yuko, Teragawa Hiroki

机构信息

Department of Cardiovascular Medicine JR Hiroshima Hospital 3-1-36 Futabanosato Higashi-ku Hiroshima 732-0057 Japan.

出版信息

Clin Case Rep. 2017 Mar 2;5(4):482-485. doi: 10.1002/ccr3.875. eCollection 2017 Apr.

DOI:10.1002/ccr3.875
PMID:28396773
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5378859/
Abstract

Adrenal venous sampling (AVS), although difficult, is recommended for patients with primary aldosteronism (PA) to diagnose the subtype. Recognizing anatomical variation is key to a successful AVS. We report on a patient with PA and left inferior vena cava (IVC) whose left adrenal vein drained directly into the IVC.

摘要

肾上腺静脉采血（AVS）虽然操作困难，但对于原发性醛固酮增多症（PA）患者，推荐采用该方法来诊断亚型。识别解剖变异是成功进行AVS的关键。我们报告了一例患有PA且下腔静脉（IVC）左侧异常的患者，其左肾上腺静脉直接汇入IVC。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/307c/5378859/edec54edf011/CCR3-5-482-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/307c/5378859/6f745d528b0e/CCR3-5-482-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/307c/5378859/04cc81e8d6b1/CCR3-5-482-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/307c/5378859/edec54edf011/CCR3-5-482-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/307c/5378859/6f745d528b0e/CCR3-5-482-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/307c/5378859/04cc81e8d6b1/CCR3-5-482-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/307c/5378859/edec54edf011/CCR3-5-482-g003.jpg

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本文引用的文献

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A review of the anatomy and clinical significance of adrenal veins.肾上腺静脉的解剖结构及临床意义综述。
Clin Anat. 2014 Nov;27(8):1253-63. doi: 10.1002/ca.22374. Epub 2014 Apr 15.
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An expert consensus statement on use of adrenal vein sampling for the subtyping of primary aldosteronism.原发性醛固酮增多症分型的肾上腺静脉取样应用专家共识声明。
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Proposal for a new classification of variations in the iliac venous system based on internal iliac veins: a case series and a review of double and left inferior vena cava.
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Anatomical Variations Encountered during Adrenal Venous Sampling: A Report of Three Case Series and Review of Literature.肾上腺静脉采血过程中遇到的解剖变异：三个病例系列报告及文献综述
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Duplicate inferior vena cava complicating the evaluation of primary aldosteronism.下腔静脉重复导致原发性醛固酮增多症的评估复杂化。
BMJ Case Rep. 2021 Jan 18;14(1):e240093. doi: 10.1136/bcr-2020-240093.
基于髂内静脉的髂静脉系统变异新分类的提议：病例系列及双下腔静脉和左下腔静脉综述
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The Adrenal Vein Sampling International Study (AVIS) for identifying the major subtypes of primary aldosteronism.用于确定原发性醛固酮增多症主要亚型的肾上腺静脉采样国际研究（AVIS）。
J Clin Endocrinol Metab. 2012 May;97(5):1606-14. doi: 10.1210/jc.2011-2830. Epub 2012 Mar 7.
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Case detection, diagnosis, and treatment of patients with primary aldosteronism: an endocrine society clinical practice guideline.原发性醛固酮增多症患者的病例发现、诊断及治疗：内分泌学会临床实践指南
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