BackTable / VI / Podcast / Episode #23
Adrenal Vein Sampling
with Dr. Mike Devane and Dr. Aaron Fritts
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!
BackTable, LLC (Producer). (2018, February 18). Ep. 23 – Adrenal Vein Sampling [Audio podcast]. Retrieved from https://www.backtable.com
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Dr. Mike Devane
Dr. Mike Devane is a practicing interventional radiologist at Greenville Health in Greenville, SC
Dr. Aaron Fritts
Dr. Aaron Fritts is a Co-Founder of BackTable and a practicing interventional radiologist in Dallas, Texas.
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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