Adrenal Vein Sampling
with Dr. Mike Devane and Dr. Aaron Fritts
BackTable, LLC (Producer). (2018, February 18). Ep. 23 – Adrenal Vein Sampling [Audio podcast]. Retrieved from
The procedure that everyone gets excited about! In this week's BackTable podcast Mike Devane talks us through adrenal vein sampling technique, including equipment/imaging tips and tricks, as well as pitfalls to avoid. Whether looking to build an AVS service, or just preparing for that once in a blue moon case, you're certain to take away a few pearls!
Dr. Mike Devane
Dr. Mike Devane is a practicing interventional radiologist at Greenville Health in Greenville, SC
Dr. Aaron Fritts
Host Dr. Aaron Fritts is a Co-Founder of BackTable and a practicing interventional radiologist in Dallas, TX.
Walk us through the sampling part of it.
So, my first sample is, I go ahead and I get the one from the femoral and label that as peripheral and hand that to the nursing staff so they can get it processed. I usually go to the right adrenal vein. The preoperative CT tells me exactly where to go, and I usually start off with the C2. And I try to get a sample with the C2. If I can't get a sample with the C2, I try to get a sample with the RDC.
Typically, I can get a sample with one of those two catheters. Typically I feel fairly comfortable.
Once I feel that I'm fairly comfortable that I've gotten the right adrenal sampling, I usually go over the bifurcation with that catheter. I switch out for a Simmons 2 and get my left side, and the left side is usually pretty easy with a Sim 2. I think I've had a couple, three cases through the years I've actually had to switch out for a Simmons 3 to get into the left because of the angle. But generally speaking, the Simmons 2 will get you where you need to go.
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