Status:

COMPLETED

Effects of Adrenal Artery Ablation and Adrenalectomy in Patients With Primary Aldosteronism

Lead Sponsor:

Third Military Medical University

Conditions:

Primary Aldosteronism

Hypertension

Eligibility:

All Genders

30-65 years

Brief Summary

Primary aldosteronism (PA) is the main cause of secondary hypertension, affecting 5-15% of the general hypertensive population. Early diagnosis and treatment are of crucial importance as patients with...

Eligibility Criteria

Inclusion

  • Primary aldosteronis diagnosed by increased aldosterone-to-renin ratio (ARR) and serum aldosterone levels ≥15 ng / dl, and confirmed by saline injection test or captopril inhibition test.
  • Aldosteronoma had lateralization by adrenal venous sampling (AVS) and confirmed with CT
  • Signed informed consent and agreed to participate in this study.

Exclusion

  • Aldosterone cancer.
  • Hyperkalemia.
  • Renal failure or the following history of nephropathy: serum creatinine 1.5 times higher than the upper limit; dialysis history; or nephrotic syndrome.
  • Secondary hypertension except the primary aldosteronism.
  • Adrenergic insufficiency.
  • Heart failure with NYHA Ⅱ-Ⅳ grade or unstable angina, severe cardiovascular and cerebrovascular stenosis, myocardial infarction, intracranial aneurysm, stroke and other acute cardiovascular events.
  • Acute infections, tumors and severe arrhythmias, psychiatric disorders, drugs or alcohol addicts.
  • Liver dysfunction or the following history of liver disease: AST or ALT 2 times higher than the upper limit, liver cirrhosis, history of hepatic encephalopathy, esophageal variceal history or portal shunt history.
  • Coagulation dysfunction.
  • Pregnant women or lactating women.
  • Participated in other clinical trials or admitted with other research drugs within 3 months prior to the trial.
  • Allergy or any contraindications for contrast agents and alcohol.
  • Refused to sign informed consent

Key Trial Info

Start Date :

January 19 2016

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

June 1 2021

Estimated Enrollment :

110 Patients enrolled

Trial Details

Trial ID

NCT04269928

Start Date

January 19 2016

End Date

June 1 2021

Last Update

March 22 2024

Active Locations (1)

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1

The third hospital affiliated to the Army Medical University

Chongqing, Chongqing Municipality, China, 400042