Japanese Journal of Radiology

, Volume 36, Issue 6, pp 407–413 | Cite as

Techniques of adrenal venous sampling in patients with inferior vena cava or renal vein anomalies

  • Kenji Endo
  • Satoru Morita
  • Shingo Suzaki
  • Hiroshi Yamazaki
  • Yu Nishina
  • Shuji Sakai
Technical Note



To review the techniques and technical success rate of adrenal venous sampling (AVS) in patients with inferior vena cava (IVC) or renal vein anomalies.

Materials and methods

The techniques and success rate of AVS in 15 patients with anomalies [8 with double IVC (dIVC), 3 with left IVC (ltIVC), 2 with retroaortic left renal vein (LRV), and 2 with circumaortic LRV] underwent AVS was retrospectively reviewed.


Among 11 patients with IVC anomalies, the success rates for sampling the right and left adrenal veins (RAV and LAV) were 81.8 and 90.9%, respectively. In dIVC, the LAV was selected using the following four methods: approaching through the right IVC from the right femoral vein, flipping the LAV catheter tip in the LRV (n = 4) or the interiliac-communicating vein (n = 1), or through the ltIVC from the right (n = 1) or left (n = 2) femoral vein. Among the four patients with LRV anomalies, the success rate was 100% for each adrenal vein.


AVS can be successfully performed in patients with anomalies. The key to technical success is understanding the venous anatomy based on pre-procedural CT images and choosing appropriate methods.


Venous anomalies Adrenal venous sampling AVS Interventional radiology Primary aldosteronism 



We have no acknowledgement.


We have received no Grants related to this research.

Compliance with ethical standards

Conflict of interest

The authors have declared no conflicts of interest.

Ethical approval

This retrospective, single-institution study was approved by the institutional review board of our facility.

Informed consent

Written informed consent for the inclusion of individual patient data in the analysis was waived because of the retrospective nature of the investigation. All patients gave their consent for the AVS procedure.


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Copyright information

© Japan Radiological Society 2018

Authors and Affiliations

  • Kenji Endo
    • 1
  • Satoru Morita
    • 1
  • Shingo Suzaki
    • 1
  • Hiroshi Yamazaki
    • 1
  • Yu Nishina
    • 1
  • Shuji Sakai
    • 1
  1. 1.Department of Diagnostic Imaging and Nuclear Medicine (Radiology)Tokyo Women’s Medical University HospitalTokyoJapan

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