Does Intraprocedural CT Improve the Success Rate of Adrenal Venous Sampling? A Systematic Review and Meta-Analysis of Data from 809 Patients

Purpose To perform a systematic review and meta-analysis to quantify the technical success rate of adrenal venous sampling (AVS) with and without intraprocedural computed tomography (CT). Methods A systematic search of the Medline, Scopus, EMBASE, and Web of Science databases for comparative studies...

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Bibliographic Details
Published in:Cardiovascular and interventional radiology 2022-01, Vol.45 (1), p.29-40
Main Authors: Hafezi-Nejad, Nima, Gullotti, David M., Bailey, Christopher R., Lessne, Mark L., Holly, Brian P.
Format: Article
Language:English
Subjects:
Adrenal Glands - diagnostic imaging
Body mass
Body mass index
Body size
Cardiology
Catheterization
Clinical Investigation
Clinical trials
Comparative studies
Computed tomography
Cortisol
Endocrine disorders
Female
Humans
Hydrocortisone
Hyperaldosteronism
Imaging
Medicine
Medicine & Public Health
Meta-analysis
Nuclear Medicine
Patients
Radiology
Retrospective Studies
Sampling
Selectivity
Success
Systematic review
Tomography, X-Ray Computed
Ultrasound
Venous Interventions
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Summary:Purpose To perform a systematic review and meta-analysis to quantify the technical success rate of adrenal venous sampling (AVS) with and without intraprocedural computed tomography (CT). Methods A systematic search of the Medline, Scopus, EMBASE, and Web of Science databases for comparative studies using intraprocedural CT was undertaken. More than 1,000 records were screened using titles and abstracts. Full texts of 121 studies were reviewed and 14 eligible studies were identified. Nine studies had adequate comparative data and were included in the meta-analysis. Results A research synthesis was performed and data from 809 patients were pooled in multiple random effect models. Overall success rate of AVS without and with intraprocedural CT was 72.7% (59.3–83.0%) and 92.5% (86.6–95.9), respectively. The addition of intraprocedural CT increased the technical success rate by 19.8% ( P  
ISSN:0174-1551
1432-086X
DOI:10.1007/s00270-021-02954-7