About this trial
This multicenter study intends to combine retrospective analysis and prospective registry to evaluate the success rate and safety of adrenal venous sampling (AVS) via antecubital and femoral approach for patients with primary aldosteronism. The consistency of AVS with pathological results and clinical outcomes, the factors affecting the success of AVS, and the optimal population for AVS will be aslo analyzed in this study.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Aged from 18 to 65 with no limits in sex;
Patients with confirmed primary aldosteronism;
Patients or their legal representatives sign written informed consent approved by the ethics committee;
Disqualifiers
Severe comorbidity, including stroke, myocardial infarction, heart failure, severe valvular heart disease, liver cirrhosis, and metastatic tumor within the previous 3 months;
An estimated glomerular filtration rate <45 ml/min/1.73 m2, or serum creatinine >176 μmol/L;
Patients who refuse adrenalectomy;
Suspected of having an adrenocortical carcinoma;
Trial population
Patients with confirmed primary aldosteronism aged from 18 to 65 with no limits in sex
Trial design
Cohort
Other
Treatments tested in this trial
adrenal venous sampling
Procedure/SurgeryPatients with Primary Aldosteronism (PA) undergoing Adrenal Venous Sampling via antecubital approach or femoral approach to discriminate PA forms with unilateral from bilateral excess aldosterone production.
Treatment groups
Trial outcomes
Primary outcomes
The success rate of bilateral adrenal venous sampling
Successful sampling will be defined by high selectivity index (cortisol in the adrenal vein/cortisol in inferior vena cava \>2 without ACTH simulation)
Secondary outcomes
The success rate of left adrenal venous sampling
Successful sampling will be defined by high selectivity index (cortisol in the adrenal vein/cortisol in inferior vena cava \>2 without ACTH simulation)
The success rate of right adrenal venous sampling
Successful sampling will be defined by high selectivity index (cortisol in the adrenal vein/cortisol in inferior vena cava \>2 without ACTH simulation)
Selection of intraoperative catheter
Types of catheter at the time of Adrenal Venous Sampling via antecubital approach or femoral approach
Time of the procedure
Time of the procedure
Sponsors and contacts
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