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CardioVascular and Interventional Radiology

, Volume 37, Issue 2, pp 498–501 | Cite as

Abdominal Pressing Maneuver During Adrenal Venous Sampling for Stabilization of Catheter Position

  • Takuji Araki
  • Hiroki Okada
  • Tsutomu Araki
Technical Note

Abstract

Purpose

The abdominal pressing maneuver (APM) is to control respiration movement of the right adrenal vein (RAV) during adrenal venous sampling (AVS). Instability of a catheter inserted into the RAV due to respiration movement can be a factor contributing to the unfeasibility of AVS.

Materials and Methods

Sixty-five consecutive patients who underwent AVS for primary aldosteronism were enrolled. We measured distances (D) of respiration movement of the RAV both without and with APM in patients who were resting breathing (n = 30) or deep breathing (n = 35). This method was clinically applied on 37 patients in whom the catheter became disconnected from the RAV either during venography or when collecting blood caused by respiration movement.

Results

The average values for D-resting without APM and D-resting with APM were 7.6 (SD 2.5) and 3.6 (SD 1.7) mm, respectively, which was significantly different. The average values for D-deep without APM and D-deep with APM were 16.3 (SD 5.2) and 8.6 (SD 3.8) mm, which was also significantly different. The average control rates under conditions of deep or resting breathing were 45 % [SD 17 % (median 43 %)] and 50 % [SD 19 % (median 49 %)], respectively. The catheter was stable in 33 (88 %) of 37 patients while using the APM.

Conclusion

The APM is considered convenient and feasible for successfully controlling respiration movement in patients undergoing AVS.

Keywords

Adrenal venous sampling Respiration movement Abdominal press maneuver 

Notes

Acknowledgments

We received generous support from the technologists in our hospital. We express our gratitude to Hajime Sakamoto, Hiroshi Kobayashi, and Shinji Ohshima.

Conflict of interest

There are no conflict of interests in Takuji Araki, Hiroki Okada and Tsutomu Araki.

References

  1. 1.
    Doppman JL, Gill JR Jr (1996) Hyperaldosteronism: sampling the adrenal veins. Radiology 198:309–312PubMedGoogle Scholar
  2. 2.
    Rossi GP, Sacchetto A, Chiesura-Corona M, De Toni R, Gallina M, Feltrin GP et al (2001) Identification of the etiology of primary aldosteronism with adrenal vein sampling in patients with equivocal computed tomography and magnetic resonance findings: results in 104 consecutive cases. J Clin Endocrinol Metab 86:1083–1090PubMedCrossRefGoogle Scholar
  3. 3.
    Young WF, Stanson AW (2009) What are the keys to successful adrenal venous sampling (AVS) in patients with primary aldosteronism? Clin Endocrinol 70:14–17CrossRefGoogle Scholar
  4. 4.
    Langen KM, Jones DTL (2001) Organ motion and its management. Int J Radiat Oncol Biol Phys 50:265–278PubMedCrossRefGoogle Scholar
  5. 5.
    Matsuura T, Takase K et al (2008) Radiological anatomy of the right adrenal vein: preliminary experience with multidetector-row computed tomography. AJR 191:402–408PubMedCrossRefGoogle Scholar
  6. 6.
    Davies SC, Hill AL, Holmes RB, Halliwell M, Jackson PC (1994) Ultrasound quantitation of respiratory organ motion in the upper abdomen. Br J Radiol 67:1096–1102PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2013

Authors and Affiliations

  1. 1.Department of Radiology, University HospitalUniversity of YamanashiChuoJapan

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