{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T23:26:02Z","timestamp":1772234762478,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","license":[{"start":{"date-parts":[[2023,8,12]],"date-time":"2023-08-12T00:00:00Z","timestamp":1691798400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100013795","name":"Fujian Medical University","doi-asserted-by":"publisher","award":["2021QH1105"],"award-info":[{"award-number":["2021QH1105"]}],"id":[{"id":"10.13039\/501100013795","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100013795","name":"Fujian Medical University","doi-asserted-by":"publisher","award":["2022QH1082"],"award-info":[{"award-number":["2022QH1082"]}],"id":[{"id":"10.13039\/501100013795","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100013795","name":"Fujian Medical University","doi-asserted-by":"publisher","award":["2022QNA041"],"award-info":[{"award-number":["2022QNA041"]}],"id":[{"id":"10.13039\/501100013795","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Interventional Cardiology"],"published-print":{"date-parts":[[2023,8,12]]},"abstract":"<jats:p>Objective. To evaluate the safety and efficacy of adrenal venous sampling (AVS) via the cubital vein and femoral vein synchronously. Methods. A total of 200 patients with primary aldosteronism admitted to the First Hospital of Fujian Medical University were enrolled and randomly divided into a single-path AVS group (SP, N\u2009=\u2009108) and a multipath AVS group (MP, N\u2009=\u200992). We analyzed the clinical characteristics, intubation success rate, procedure cost, total fluoroscopy time, complications, contrast dosage, and the number of catheters selected during AVS. A planar quadrant system was established to mark the direction of the adrenal opening, with the intersection of the right renal vein and the inferior vena cava defined as the origin. In digital subtraction angiography images, the RAV opening located in the 0\u20133 o\u2019clock direction was the first quadrant (I), and the 3\u20136 o\u2019clock direction was the third quadrant (III). Results. There was no statistical difference between the two groups at baseline. Multipath AVS had a significantly higher success rate of right-sided intubation than single-path AVS (success rate of right-sided intubation\/%: SP 87.96 vs MP 95.65, <jats:inline-formula>\n                     <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mi>P<\/a:mi>\n                        <a:mo>=<\/a:mo>\n                        <a:mn>0.043<\/a:mn>\n                     <\/a:math>\n                  <\/jats:inline-formula>). Total fluoroscopy time was significantly reduced (fluoroscopy time\/min: SP 9.80\u2009\u00b1\u20094.07 vs MP 7.42\u2009\u00b1\u20093.48, <jats:inline-formula>\n                     <c:math xmlns:c=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                        <c:mi>P<\/c:mi>\n                        <c:mo>=<\/c:mo>\n                        <c:mn>0.024<\/c:mn>\n                     <\/c:math>\n                  <\/jats:inline-formula>) and the cost of the procedure was markedly lower (cost\/yuan: SP 3,900.93\u2009\u00b1\u20091,191.12 vs MP 3,378.26\u2009\u00b1\u2009399.40, <jats:inline-formula>\n                     <e:math xmlns:e=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\">\n                        <e:mi>P<\/e:mi>\n                        <e:mo>&lt;<\/e:mo>\n                        <e:mn>0.001<\/e:mn>\n                     <\/e:math>\n                  <\/jats:inline-formula>). There was no significant difference in postoperative complications between the two groups. In the group I, the procedure was completed mainly with an MPA catheter (catheter selection\/%: MPA 98.19 vs TIG 17.65, <jats:inline-formula>\n                     <g:math xmlns:g=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\">\n                        <g:mi>P<\/g:mi>\n                        <g:mo>&lt;<\/g:mo>\n                        <g:mn>0.001<\/g:mn>\n                     <\/g:math>\n                  <\/jats:inline-formula>). In the group III, TIG catheters were used more frequently (catheter selection\/%: MPA 1.81 vs TIG 82.35, <jats:inline-formula>\n                     <i:math xmlns:i=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M5\">\n                        <i:mi>P<\/i:mi>\n                        <i:mo>&lt;<\/i:mo>\n                        <i:mn>0.001<\/i:mn>\n                     <\/i:math>\n                  <\/jats:inline-formula>). Conclusion. Multipath AVS via the cubital vein and femoral vein improves the success rate of AVS with comparable safety compared to single-path AVS. When the RAV is opened in the III quadrant, the TIG catheter improves the cannulation success rate. The multipath AVS method provides more catheter options. Patients diagnosed with PA at the First Hospital of Fujian Medical University from December 2019 to December 2021 were included. The collection of medical records of the included population was approved by the ethics committee (approval number: [2021] 311). This was a cross-sectional study in which some patients were treated surgically and some were treated with superselective adrenal artery embolization (SAAE). We conducted a cohort study of patients treated with SAAE. ClinicalTrials.gov Protocol Registration and Results System (PRS) receipt release date: January 11, 2022. This trial is registered with NCT05188872.<\/jats:p>","DOI":"10.1155\/2023\/8670365","type":"journal-article","created":{"date-parts":[[2023,8,12]],"date-time":"2023-08-12T16:05:08Z","timestamp":1691856308000},"page":"1-8","source":"Crossref","is-referenced-by-count":2,"title":["Comparative Analysis of Single-Path and Multipath Adrenal Venous Sampling in Primary Aldosteronism"],"prefix":"10.1155","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2763-8840","authenticated-orcid":true,"given":"Zhoufei","family":"Fang","sequence":"first","affiliation":[{"name":"Department of Geriatrics, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China"},{"name":"Fujian Hypertension Research Institute, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China"},{"name":"Clinical Research Center for Geriatric Hypertension Disease of Fujian Province, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China"},{"name":"Branch of National Clinical Research Center for Aging and Medicine, The First Affiliated Hospital of Fujian Medical University, Fujian Province, Fuzhou, China"},{"name":"Department of Cardiology, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou 350212, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0573-7725","authenticated-orcid":true,"given":"Han","family":"Cai","sequence":"additional","affiliation":[{"name":"Fujian Hypertension Research Institute, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China"},{"name":"Department of Cardiology, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou 350212, China"},{"name":"Department of Cardiology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0193-8662","authenticated-orcid":true,"given":"Qixiang","family":"Zhang","sequence":"additional","affiliation":[{"name":"The First Clinical Medical College of Fujian Medical University, Fuzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0351-8871","authenticated-orcid":true,"given":"Jin","family":"Gong","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China"},{"name":"Fujian Hypertension Research Institute, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China"},{"name":"Clinical Research Center for Geriatric Hypertension Disease of Fujian Province, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China"},{"name":"Branch of National Clinical Research Center for Aging and Medicine, The First Affiliated Hospital of Fujian Medical University, Fujian Province, Fuzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Zhou","sequence":"additional","affiliation":[{"name":"Fujian Hypertension Research Institute, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5544-3149","authenticated-orcid":true,"given":"Liangdi","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China"},{"name":"Fujian Hypertension Research Institute, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China"},{"name":"Clinical Research Center for Geriatric Hypertension Disease of Fujian Province, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China"},{"name":"Branch of National Clinical Research Center for Aging and Medicine, The First Affiliated Hospital of Fujian Medical University, Fujian Province, Fuzhou, China"},{"name":"Department of Cardiology, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou 350212, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6839-3478","authenticated-orcid":true,"given":"Feng","family":"Peng","sequence":"additional","affiliation":[{"name":"Fujian Hypertension Research Institute, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China"},{"name":"Department of Cardiology, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou 350212, China"},{"name":"Department of Cardiology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 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Fang","year":"2020","journal-title":"Chin J Hypertens"}],"container-title":["Journal of Interventional Cardiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/jitc\/2023\/8670365.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/jitc\/2023\/8670365.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/jitc\/2023\/8670365.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,12]],"date-time":"2023-08-12T16:05:26Z","timestamp":1691856326000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/jitc\/2023\/8670365\/"}},"subtitle":[],"editor":[{"given":"Yuli","family":"Huang","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2023,8,12]]},"references-count":21,"alternative-id":["8670365","8670365"],"URL":"https:\/\/doi.org\/10.1155\/2023\/8670365","relation":{},"ISSN":["1540-8183","0896-4327"],"issn-type":[{"value":"1540-8183","type":"electronic"},{"value":"0896-4327","type":"print"}],"subject":[],"published":{"date-parts":[[2023,8,12]]}}}