ea0099p414 | Adrenal and Cardiovascular Endocrinology | ECE2024
Htut Zin
, Sharma Aditi
, Foran Daniel
, Palazzo Fausto
, Dimarco Aimee
, Meeran Karim
, Alsafi Ali
, Wernig Florian
Introduction: Adrenal Venous Sampling (AVS) is considered the gold standard to identify surgically treatable primary aldosteronism (PA) subtypes. Current guidelines suggest using plasma cortisol concentrations to confirm successful adrenal vein (AV) cannulation and lateralisation, but cortisol co-secretion by adrenal adenomas can lead to diagnostic misinterpretation. Plasma metanephrines (MN) have a half-life of 3 to 6 min and are not affected by cortisol co-secretion, and the...