タジマ　ヒロユキ   TAJIMA Hiroyuki   田島　廣之    所属   埼玉医科大学  医学部 国際医療センター　放射線科（放射線腫瘍科、画像診断、核医学科）    職種   特任教授
論文種別	学術雑誌(原著)
言語種別	英語
査読の有無	査読あり
表題	Evaluation of right adrenal vein cannulation by computed tomography angiography in 140 consecutive patients undergoing adrenal venous sampling
掲載誌名	正式名：EUROPEAN JOURNAL OF ENDOCRINOLOGY ISSNコード：08044643
出版社	BIOSCIENTIFICA LTD
巻・号・頁	170(4),601-608頁
著者・共著者	Shiro Onozawa,Satoru Murata,Hiroyuki Tajima,Hidenori Yamaguchi,Takahiko Mine,Akira Ishizaki,Hitoshi Sugihara,Shinichi Oikawa,Shin-ichiro Kumita
発行年月	2014/04
概要	Objective: As it is now known that primary aldosteronism (PA) is more prevalent than was previously recognized, and is a potentially curable cause of hypertension and related cardiovascular diseases, the search for a safe and effective means of its diagnosis has reemerged as a topic of interest. Adrenal venous sampling is the gold standard for diagnosis of PA, but the technique is challenging and the small right adrenal vein can be particularly difficult to cannulate. Our objective was to evaluate the usefulness of computed tomography during angiography (angio-CT) in increasing the success of adrenal venous sampling and to identify factors associated with cannulation failure.Design: Retrospective review.Methods: A total of 140 consecutive patients with suspected PA except Cushing's syndrome treated at a single hospital from June 2008 to May 2013 were included. Catheter misplacement and correct cannulation rates before angio-CTand success rate of sampling after angio- CT were calculated. Univariate analysis for factors related to incorrect cannulation included gender, age, height, weight, BMI, and adrenal nodules. Successful sampling was biochemically defined according to cortisol
DOI	10.1530/EJE-13-0741