Optimal vein access selection in adrenal vein sampling via upper extremity approach: a retrospective analysis of 325 cases
Abstract In order to provide some references for vein approach selection in adrenal vein sampling (AVS), this retrospective study analyzed 325 cases of primary aldosteronism (PA) patients who underwent AVS via the upper extremity vein approach, comparing the differences in complications and visual a...
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Nature Portfolio
2025-01-01
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| Online Access: | https://doi.org/10.1038/s41598-024-83377-5 |
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| author | Furong Zhang Ni Zhu Shuhua Zhao Rui Han Juan Shi Wenfeng Luo Dong Shi Xumin Xin Jun Qian |
| author_facet | Furong Zhang Ni Zhu Shuhua Zhao Rui Han Juan Shi Wenfeng Luo Dong Shi Xumin Xin Jun Qian |
| author_sort | Furong Zhang |
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| description | Abstract In order to provide some references for vein approach selection in adrenal vein sampling (AVS), this retrospective study analyzed 325 cases of primary aldosteronism (PA) patients who underwent AVS via the upper extremity vein approach, comparing the differences in complications and visual analogue scale (VAS) scores through median cubital vein (MCV), basilic vein (BV), and cephalic vein (CV). The results indicated no significant difference in the incidence of venous spasm (right MCV vs. right BV vs. left MCV vs. left BV: 4.2 vs. 5.9 vs. 5.3 vs. 0.0%, p>0.05) and VAS scores between AVS performed using the MCV and the BV. However, the right CV access was associated with a relatively higher incidence of venous spasm (right CV: 20% vs. right MCV: 4.2%, p<0.05) and higher rate of thrombosis formation (right CV: 5.7% vs. right MCV: 0.0%, p<0.05) than right MCV, accompanied by more severe pain. The study suggests that bilateral MCV and BV are both viable options vein access for AVS. When neither the MCV nor the BV on one side is accessible, it may be more prudent to opt for the MCV or BV on the contralateral side rather than the CV. |
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| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-01-01 |
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| spelling | doaj-art-25c60f2e3b3e4fb09d1a6f1801f9a0062025-01-05T12:14:59ZengNature PortfolioScientific Reports2045-23222025-01-011511510.1038/s41598-024-83377-5Optimal vein access selection in adrenal vein sampling via upper extremity approach: a retrospective analysis of 325 casesFurong Zhang0Ni Zhu1Shuhua Zhao2Rui Han3Juan Shi4Wenfeng Luo5Dong Shi6Xumin Xin7Jun Qian8Department of Cardiovascular, The Second Affiliated Hospital of Chongqing Medical UniversityDepartment of Cardiovascular, The Second Affiliated Hospital of Chongqing Medical UniversityDepartment of Cardiovascular, The Second Affiliated Hospital of Chongqing Medical UniversityDepartment of Cardiovascular, The Second Affiliated Hospital of Chongqing Medical UniversityDepartment of Cardiovascular, The Second Affiliated Hospital of Chongqing Medical UniversityDepartment of Cardiovascular, The Second Affiliated Hospital of Chongqing Medical UniversityDepartment of Cardiovascular, The Second Affiliated Hospital of Chongqing Medical UniversityDepartment of Cardiovascular, The Second Affiliated Hospital of Chongqing Medical UniversityDepartment of Cardiovascular, The Second Affiliated Hospital of Chongqing Medical UniversityAbstract In order to provide some references for vein approach selection in adrenal vein sampling (AVS), this retrospective study analyzed 325 cases of primary aldosteronism (PA) patients who underwent AVS via the upper extremity vein approach, comparing the differences in complications and visual analogue scale (VAS) scores through median cubital vein (MCV), basilic vein (BV), and cephalic vein (CV). The results indicated no significant difference in the incidence of venous spasm (right MCV vs. right BV vs. left MCV vs. left BV: 4.2 vs. 5.9 vs. 5.3 vs. 0.0%, p>0.05) and VAS scores between AVS performed using the MCV and the BV. However, the right CV access was associated with a relatively higher incidence of venous spasm (right CV: 20% vs. right MCV: 4.2%, p<0.05) and higher rate of thrombosis formation (right CV: 5.7% vs. right MCV: 0.0%, p<0.05) than right MCV, accompanied by more severe pain. The study suggests that bilateral MCV and BV are both viable options vein access for AVS. When neither the MCV nor the BV on one side is accessible, it may be more prudent to opt for the MCV or BV on the contralateral side rather than the CV.https://doi.org/10.1038/s41598-024-83377-5Adrenal vein samplingPrimary aldosteronismPunctureCatheterization |
| spellingShingle | Furong Zhang Ni Zhu Shuhua Zhao Rui Han Juan Shi Wenfeng Luo Dong Shi Xumin Xin Jun Qian Optimal vein access selection in adrenal vein sampling via upper extremity approach: a retrospective analysis of 325 cases Scientific Reports Adrenal vein sampling Primary aldosteronism Puncture Catheterization |
| title | Optimal vein access selection in adrenal vein sampling via upper extremity approach: a retrospective analysis of 325 cases |
| title_full | Optimal vein access selection in adrenal vein sampling via upper extremity approach: a retrospective analysis of 325 cases |
| title_fullStr | Optimal vein access selection in adrenal vein sampling via upper extremity approach: a retrospective analysis of 325 cases |
| title_full_unstemmed | Optimal vein access selection in adrenal vein sampling via upper extremity approach: a retrospective analysis of 325 cases |
| title_short | Optimal vein access selection in adrenal vein sampling via upper extremity approach: a retrospective analysis of 325 cases |
| title_sort | optimal vein access selection in adrenal vein sampling via upper extremity approach a retrospective analysis of 325 cases |
| topic | Adrenal vein sampling Primary aldosteronism Puncture Catheterization |
| url | https://doi.org/10.1038/s41598-024-83377-5 |
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