Many problems of existing treatments Aldosterone adenomas or most of the unilateral adrenal hyperplasia cured by surgery, the rate was 80%; Idiopathic aldosteronism operation effect is poor, only about 30% efficient; And surgical trauma is big, there are some serious complications. Clinical common spironolactone primary aldosteronism, although effective but side-effect apparent. For this reason, clinical has been exploring efficient, minimally invasive and less complications, the length of time is short, low cost method. CT or ultrasound positioning with percutaneous puncture adrenal lesions side, to inject inside adenoma is no water in the method of ethanol cases may make adenoma necrosis, but in this method according to the distribution is not ethanol in blood vessels diffusion, may make part of tissue and easy relapse.
Percutaneous selective adrenal artery embolization (no water ethanol) method according to completely adenoma blood vessels distribution embolism, foreign research report success rate of more than 82%. This method choose ethanol as embolism reagent and use this method, they consider up, middle and under the 3 kinds of artery blood supply, proximal embolism form easily after collateral circulation. Ethanol can have been into the organization endings, totally destroyed endothelial structure, the real guarantee embolism parts organization death.
Our experience on March 24, 2010, the first of aldosterone adrenal adenoma percutaneous selective artery embolization, and then try to idiopathic adrenal hyperplasia of selective embolization in our conutry. Up to now, our hospital has completed 10 cases, except one cases of anatomical structure abnormal (artery diameter of less than 1 mm), the godet cannot normal into outside, the rest 9 cases have been successful, is currently only in 1 relapse, the rest 8 cases of symptoms disappear completely.
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