TY - JOUR
T1 - Adrenal vein sampling for ACTH-producing pheochromocytomas
AU - Leader, Nicholas
AU - Ushinsky, Alexander
AU - Malone, Christopher D.
N1 - Funding Information:
Competing interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
Publisher Copyright:
© 2021
PY - 2021/9
Y1 - 2021/9
N2 - Adrenocorticotropic hormone (ACTH)-producing pheochromocytoma can cause a variety of clinical manifestations of excess catecholamine and corticosteroid. Anatomic localization of this source of ectopic ACTH is critical to facilitate unilateral adrenalectomy and prevent adrenal insufficiency due to bilateral adrenalectomy. Although nuclear scintigraphy remains the diagnostic gold standard, recent radiotracer supply shortages have necessitated alternative diagnostic paradigms to localize adrenal pheochromocytomas. We present a case where adrenal vein sampling (AVS) was utilized to lateralize an adrenal pheochromocytoma and discuss the approach and nuance as it differs from routine AVS for hyperaldosteronism or hypercortisolism.
AB - Adrenocorticotropic hormone (ACTH)-producing pheochromocytoma can cause a variety of clinical manifestations of excess catecholamine and corticosteroid. Anatomic localization of this source of ectopic ACTH is critical to facilitate unilateral adrenalectomy and prevent adrenal insufficiency due to bilateral adrenalectomy. Although nuclear scintigraphy remains the diagnostic gold standard, recent radiotracer supply shortages have necessitated alternative diagnostic paradigms to localize adrenal pheochromocytomas. We present a case where adrenal vein sampling (AVS) was utilized to lateralize an adrenal pheochromocytoma and discuss the approach and nuance as it differs from routine AVS for hyperaldosteronism or hypercortisolism.
KW - ACTH-producing pheochromocytoma
KW - Adrenal vein sampling
KW - Pheochromocytoma
KW - Venous intervention
UR - http://www.scopus.com/inward/record.url?scp=85110128735&partnerID=8YFLogxK
U2 - 10.1016/j.radcr.2021.06.055
DO - 10.1016/j.radcr.2021.06.055
M3 - Article
C2 - 34345329
AN - SCOPUS:85110128735
SN - 1930-0433
VL - 16
SP - 2672
EP - 2675
JO - Radiology Case Reports
JF - Radiology Case Reports
IS - 9
ER -