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Arterial Stimulation Venous Sampling for Pancreatic Endocrine Tumors

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Diagnosis and Management of Endocrine Disorders in Interventional Radiology

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Abstract

Arterial stimulation venous sampling (ASVS) is a minimally invasive technique to diagnose and localize functional pancreatic endocrine tumors. This test is most commonly used to identify insulinomas in patients for whom noninvasive imaging fails to localize the lesion. The test is performed by injecting a stimulating agent (calcium or secretin) in arteries that supply discrete regions of the pancreas while simultaneously obtaining venous samples from the hepatic veins. While this test has been shown in several studies to have high sensitivity and specificity, it does require a thorough knowledge of pancreatic arterial anatomy and potential anatomic variants in order to maximize the usefulness of this study.

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Authors and Affiliations

  1. Division of Vascular and Interventional Radiology, Department of Radiology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA

    Charles T. Burke

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  1. Charles T. Burke
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Correspondence to Charles T. Burke .

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Editors and Affiliations

  1. Division of Vascular and Interventional RadiologyDepartment of Radiology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA

    Hyeon Yu

  2. Division of Vascular and Interventional RadiologyDepartment of Radiology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA

    Charles T. Burke

  3. Division of Vascular and Interventional RadiologyDepartment of Radiology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA

    Clayton W. Commander

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Burke, C.T. (2022). Arterial Stimulation Venous Sampling for Pancreatic Endocrine Tumors. In: Yu, H., Burke, C.T., Commander, C.W. (eds) Diagnosis and Management of Endocrine Disorders in Interventional Radiology. Springer, Cham. https://doi.org/10.1007/978-3-030-87189-5_10

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  • DOI: https://doi.org/10.1007/978-3-030-87189-5_10

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