Abstract Archives of the RSNA, 2022

IREE-13

Adrenal Venous Sampling: Tips and Tricks for Non-Experts

Sunday, Nov. 27 8:00AM - 9:00AM Room: Learning Center - IR



Awards
Identified for RadioGraphics

Participants
Katsuhiro Kobayashi, MD, , (Presenter) Nothing to Disclose

TEACHING POINTS

1) Review adrenal vein anatomy and anatomical landmarks for right adrenal vein cannulation. 2)Describe adjunctive techniques used for adrenal vein sampling (AVS). 3) Discuss adrenal vein sample interpretation and indication for repeat AVS

TABLE OF CONTENTS/OUTLINE

1) Overview of primary aldosteronism2) Anatomy of adrenal veins relevant to AVS and anatomical landmarks for right adrenal vein cannulation (inferior emissary vein, communicating veins, inferior accessory hepatic vein)3) Pre-procedural work-up including MDCT technique used for adrenal vein assessment4) Protocol for AVS including antihypertensive medication modification, or cosyntropin infusion etc.)5) Techniques used for AVS and adjunctive techniques used for right adrenal vein cannulation (Cone-Bean CT, coaxial guide wire- catheter technique, intraprocedural cortisol measurement)6) Sample interpretation and indication for repeat AVS (double down Aldosterone/Cortisol)7) Complications associated with AVS8) Advances in AVS (subselective AVS)9) Summary of Tips and Tricks

Printed on: 06/27/23