Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Anatomical Variations Encountered during Adrenal Venous Sampling: A Report of Three Case Series and Review of Literature

부신정맥채혈술 중 발견된 해부학적 변이들: 3건의 증례 보고 및 문헌 고찰

  • Juyoung Pak (Department of Radiology, Soonchunhyang University College of Medicine, Cheonan Hospital) ;
  • Hyoung Nam Lee (Department of Radiology, Soonchunhyang University College of Medicine, Cheonan Hospital) ;
  • Myung Sub Kim (Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Hyerim Park (Department of Radiology, Soonchunhyang University College of Medicine, Cheonan Hospital)
  • 박주영 (순천향대학교 의과대학 천안병원 영상의학과) ;
  • 이형남 (순천향대학교 의과대학 천안병원 영상의학과) ;
  • 김명섭 (성균관대학교 의과대학 강북삼성병원 영상의학과) ;
  • 박혜림 (순천향대학교 의과대학 천안병원 영상의학과)
  • Received : 2023.05.18
  • Accepted : 2023.08.26
  • Published : 2024.03.01
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Abstract

Primary aldosteronism is a group of disorders in which the autonomous secretion of aldosterone is associated with hypertension and hypokalemia. It is crucial to determine the laterality of aldosterone hypersecretion because treatment options differ accordingly. Adrenal venous sampling (AVS) is considered the most reliable method for assessing the laterality of primary aldosteronism. This procedure is often technically challenging because of the small size and varied locations of the adrenal veins. A better understanding of anatomical variations and careful review of imaging studies would improve sampling success. This report presents three cases of anatomical variations encountered during AVS.

원발성 알도스테론증은 자율신경계에 의한 알도스테론 분비조절의 장애로 고혈압 및 저칼륨혈증과 관련이 있다. 원발성 알도스테론증에서 편측성을 결정하는 것이 매우 중요한 이유는 그에 따라 치료 방법이 달라지기 때문이다. 부신정맥채혈술은 원발성 알도스테론증에서 편측성을 평가하는 가장 신뢰성 있는 방법으로 알려져 있다. 부신정맥채혈술은 부신 정맥이 크기가 매우 작으며 그 해부학적 위치가 다양하기 때문에 기술적으로 어려운 시술이다. 따라서 성공적인 시술을 위해서는 해부학적 변이를 잘 이해하고 시술 전 영상 검사를 면밀히 검토하는 것이 중요하다. 부신정맥채혈술 중에 발견된 세 가지 해부학적 변이를 보고하고자 한다.

Keywords

Acknowledgement

This work was supported by the Soonchunhyang University Research Fund. This research did not receive any specific grant from funding agencies in the public, commercial or not-for-profit sectors.

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