Radiographic endovascular correction of hyperaldosteronism in patients with arterial hypertension
Pokrovskiĭ, A.V.; Karimov, S.I.; Volynskiĭ, I.D.; Tursunov, B.Z.; Akhtaev, A.R.; Osipov, N.G.; Dobrosel'skaia, I.V.; Karmazanovskiĭ, G.G.; Azizov, K.A.
Khirurgiia 1993(10): 34-39
1993
ISSN/ISBN: 0023-1207 PMID: 8295380 Document Number: 419588
The authors describe a new method of X-ray endovascular destruction of the adrenal in patients with arterial hypertension and hyperaldosteronism. Destruction of the adrenal is accomplished by acute occlusion of its venous channel by introduction of a 3% thrombovar solution through a catheter installed in the central vein of the suprarenal gland. This method was applied in 22 patients with arterial hypertension; essential hypertension with secondary hyperaldosteronism was found in 18 of them, renoparenchymatous hypertension in 2, aldosteroma of the left adrenal in one, and Itsenko-Cushing's disease in one patient. Acute occlusion of the adrenal venous channel was achieved in 20 patients. The intervention normalized blood pressure in 16 and reduced it significantly in 4 patients.