Adrenal Vein Sampling in a Patient With Primary Hyperaldosteronism and Severe Contrast Allergy

Margaretha L.M. Prins; Bartholomeus E.P.B. Ballieux; Onno C. Meijer; Alberto M. Pereira; Michiel F. Nijhoff


J Endo Soc. 2021;5(10) 

In This Article


AVS is the gold standard test to differentiate between unilateral and bilateral causes of PA. However, ICM is needed in this procedure, posing a problem for patients with a severe allergy to ICM. The use of exogenous glucocorticoids can affect measurements of serum cortisol and may also influence adrenal cortisol secretion. Here we demonstrate that AVS utilizing continuous ACTH infusion can still be reliably and safely performed when using dexamethasone as premedication for ICM allergy.