{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:06:49Z","timestamp":1777921609794,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T00:00:00Z","timestamp":1675209600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2023,2,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Nearly half of the adult population in the United States has been diagnosed with hypertension. Adrenal hormonal hypersecretion is a leading cause of secondary hypertension. Adrenal vein sampling (AVS) may assist in differentiating between unilateral and bilateral adrenal hormonal hypersecretion to identify patients who are candidates for adrenalectomy. We reviewed the use of AVS at our institution along with associated outcomes after adrenalectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A retrospective chart review was conducted of patients with a diagnosis of primary hyperaldosteronism (PA) or adrenocorticotropic hormone-independent Cushing syndrome (AICS) and who underwent adrenalectomy between January 1, 2010, and December 1, 2021. Patient data of baseline characteristics, preoperative workup, including AVS, and postoperative outcomes were collected and analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Seventy-one patients were identified in the study period (48 PA and 23 AICS). Computed tomography scan identified unilateral adrenal nodules in 52 patients (29 left; and 23 right), bilateral nodules in 13 patients, and no nodules in 6 patients. AVS was performed in 45 patients with PA (93%) and 5 patients with AICS (21%). After surgery, the number of PA patients with hypokalemia or requiring potassium supplementation significantly decreased after adrenalectomy (before surgery: 33 [68.7%]; and after surgery: 5 [10.4%],\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.01). The number of medications required for hypertension in AICS patients also significantly decreased. No major adverse events were noted.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">:<\/jats:italic>\n                      Our long-term experience demonstrates the ongoing use of AVS during workup of patients with primary hyperaldosteronism and for select patients with adrenocorticotropic hormone-independent Cushing syndrome. However, a low level of discordance between imaging and AVS findings in PA patients suggests that there may be a subset of patients in whom preoperative AVS is not necessary.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2022.0302","type":"journal-article","created":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T17:07:55Z","timestamp":1667322475000},"page":"129-136","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Eleven-Year Experience with Selective Adrenal Vein Sampling in Management of Primary Adrenal Hormonal Hypersecretion"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5032-3970","authenticated-orcid":false,"given":"Domenech","family":"Asbun","sequence":"first","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Surgery, Miami Cancer Institute, Miami, Florida, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9441-011X","authenticated-orcid":false,"given":"Yilon Lima","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mayo Clinic, Jacksonville, Florida, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weston","family":"Bush","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mayo Clinic, Jacksonville, Florida, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan L.","family":"Samson","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Endocrinology, Mayo Clinic, Jacksonville, Florida, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shon","family":"Meek","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Endocrinology, Mayo Clinic, Jacksonville, Florida, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricardo","family":"Paz-Fumagalli","sequence":"additional","affiliation":[{"name":"Department of Radiology, Division of Interventional Radiology, Mayo Clinic, Jacksonville, Florida, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Lewis","sequence":"additional","affiliation":[{"name":"Department of Radiology, Division of Interventional Radiology, Mayo Clinic, Jacksonville, Florida, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuel","family":"Gabriel","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mayo Clinic, Jacksonville, Florida, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Horacio","family":"Asbun","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Surgery, Miami Cancer Institute, Miami, Florida, USA."},{"name":"Department of Surgery, Mayo Clinic, Jacksonville, Florida, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarika N.","family":"Rao","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Endocrinology, Mayo Clinic, Jacksonville, Florida, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enrique F.","family":"Elli","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mayo Clinic, Jacksonville, Florida, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,2,8]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"crossref","unstructured":"2017 ACC\/AHA\/AAPA\/ABC\/ACPM\/AGS\/APhA\/ASH\/ASPC\/NMA\/PCNA Guideline for the Prevention Detection Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines. doi: 10.1161\/HYP.0000000000000065","DOI":"10.1161\/HYP.0000000000000065"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.7326\/M20-0065"},{"issue":"5","key":"e_1_3_4_4_2","first-page":"e53","article-title":"Resistant hypertension: detection, evaluation, and management: A scientific statement from the American Heart Association","volume":"72","author":"Carey Robert M","year":"2018","unstructured":"Carey Robert M, , Calhoun David A, , Bakris George L, et al. 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Hypertension Canada's 2020 comprehensive guidelines for the prevention, diagnosis, risk assessment, and treatment of hypertension in adults and children. Can J Cardiol, 2020; 36,(5):596\u2013624; doi: 10.1016\/j.cjca.2020.02.086","journal-title":"Can J Cardiol"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181b13ca2"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12902-018-0250-6"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-007-9332-8"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-018-4788-2"},{"key":"e_1_3_4_19_2","author":"Builes-Monta\u00f1o CE","unstructured":"Builes-Monta\u00f1o CE, , Villa-Franco CA, , Rom\u00e1n-Gonzalez A, et al. Adrenal venous sampling in a patient with adrenal Cushing syndrome. 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