Adrenal gland-sparing transcatheter embolisation of an aldosteronoma for the treatment of refractory hypertension

Radiology Case Reports

Mark Brown, MBBS, FRACP, MD¹  Izak S. Van der Walt, MBBS, BSC²  Suhrid Lodh, MBBS, BSC, FRANZCR³ 

[1] Corresponding author.;Department of Interventional Radiology, St George Hospital, Kensington Street, Kogarah, 2217, New South Wales, Australia;Renal and Hypertension Service, St George Hospital, Kensington Street, Kogarah 2217, New South Wales, Australia;

关键词: Adrenal gland embolization;    Adrenal embolization;    Adrenal gland adenoma;    Adrenal adenoma;    Aldosteronoma;   

DOI  :  

来源: DOAJ

【 摘 要 】

In patients with hypertension secondary to aldosterone secreting adrenal adenomas, medical and surgical treatments are both well described, with trans-catheter arterial embolization an uncommon form of therapy, currently. In patients where medical therapy has not provided sufficient response, and where surgical therapy is not deemed appropriate, trans-catheter arterial embolization of aldosteronomas has shown promise in a number of case series. We present the case of a 69-year-old man with hypertension refractory to medical therapy, and deemed not to be a surgical candidate for laparoscopic adrenalectomy. The patient underwent successful selective embolization of a functional adrenal adenoma, with sustained improvement in his prior hypertension, and without major complication. We conclude that trans-catheter embolization, when performed in the carefully selected suitable candidate, is a promising therapeutic option, and warrants a cohort study to assess long term outcomes.

【 授权许可】

Unknown