A CASE OF PRIMARY ALDOSTERONISM TREATED BY ADRENAL ARTERY EMBOLIZATION USING ABSOLUTE ETHANOL

Autor:	Norio Kanazawa, Yoshiaki Takayama, Hideo Takeuchi, Tetsuo Sakamaki, Hiroyuki Sumino, Hisao Kumakura, Toyoshi Sasaki, Shuichi Ichikawa, Noboru Oriuchi, Yoshio Ohyama, Shoichi Tange
Rok vydání:	1994
Předmět:	medicine.medical_specialty medicine.diagnostic_test Adenoma business.industry medicine.medical_treatment Digital subtraction angiography Hyperplasia medicine.disease Adrenal artery Blood pressure Primary aldosteronism medicine Adrenal adenoma Embolization Radiology business
Zdroj:	The KITAKANTO Medical Journal. 44:659-666
ISSN:	1883-6135 0023-1908
DOI:	10.2974/kmj1951.44.659
Popis:	A 47-year old man with a 8-year history of primary aldosteronism was admitted to our hospital for reevaluation of diagnosis and interventional treatment, while he had been administered trilostane and nifedipin due to adrenal hyperplasia. Abdominal CT, scintigram and adrenal venous sampling revealed an adenoma in the right adrenal gland. Adrenal digital subtraction angiography showed a tumor staining in the right inferior adrenal artery, representing an adrenal adenoma. The adenoma was ablated by adrenal arterial injection of absolute ethanol (0.5ml) with a coaxial microcatheter. After the interventional therapy, blood pressure and plasma aldosterone levels were significantly decreased without antihypertensive drugs. No serious complications were observed.Adrenal artery embolization using absolute ethanol is a newly developed safe and effective treatment for adenoma in primary aldosteronism.
Databáze:	OpenAIRE
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