Differential ovarian and adrenal vein catheterization

Anne Colston Wentz, Robert I. White, Claude J. Migeon, Tah Hsiung Hsu, H. Verdain Barnes, Georgeanna Seegar Jones

Research output: Contribution to journalArticle

Abstract

Twenty-two hirsute women underwent percutaneous adrenal and ovarian vein catheterization to differentiate and localize excessive hormonal output. All studies were done under fluoroscopic control; catheter placement was verified by venography, and blood samples were withdrawn for hormonal analysis. The right ovarian vein was successfully sampled in 42 per cent of attempts; the left ovarian vein, in 75 per cent; the right adrenal vein, in 56 per cent; and the left adrenal vein, in 100 per cent. Bilateral catheterization did not prove clinically useful. First, anatomic variations in venous size and drainage made catheterization and bilateral sampling difficult. Second, adrenal secretion is both episodic and parallel, necessitating both simultaneous catheterization and serial sampling for adequate diagnosis. The stress of the procedure may provoke increased adrenal output. Third, since ovarian secretion is not parallel, and since increased hormone output has been documented in that ovary containing developing follicles or a corpus luteum, distinguishing ovarian dysfunction proved difficult. Finally, for a time-consuming procedure, patient discomfort cannot be disregarded. This technique has not proved to be a reliable means of determining the site of androgen hypersecretion and thus cannot be recommended in the routine evaluation of female hirsutism.

Original languageEnglish (US)
Pages (from-to)1000-1007
Number of pages8
JournalAmerican Journal of Obstetrics and Gynecology
Volume125
Issue number7
StatePublished - Aug 1 1976

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Catheterization
Veins
Anatomic Variation
Hirsutism
Phlebography
Corpus Luteum
Androgens
Drainage
Ovary
Catheters
Hormones

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

Cite this

Wentz, A. C., White, R. I., Migeon, C. J., Hsu, T. H., Barnes, H. V., & Jones, G. S. (1976). Differential ovarian and adrenal vein catheterization. American Journal of Obstetrics and Gynecology, 125(7), 1000-1007.

Differential ovarian and adrenal vein catheterization. / Wentz, Anne Colston; White, Robert I.; Migeon, Claude J.; Hsu, Tah Hsiung; Barnes, H. Verdain; Jones, Georgeanna Seegar.

In: American Journal of Obstetrics and Gynecology, Vol. 125, No. 7, 01.08.1976, p. 1000-1007.

Research output: Contribution to journalArticle

Wentz, AC, White, RI, Migeon, CJ, Hsu, TH, Barnes, HV & Jones, GS 1976, 'Differential ovarian and adrenal vein catheterization', American Journal of Obstetrics and Gynecology, vol. 125, no. 7, pp. 1000-1007.
Wentz AC, White RI, Migeon CJ, Hsu TH, Barnes HV, Jones GS. Differential ovarian and adrenal vein catheterization. American Journal of Obstetrics and Gynecology. 1976 Aug 1;125(7):1000-1007.
Wentz, Anne Colston ; White, Robert I. ; Migeon, Claude J. ; Hsu, Tah Hsiung ; Barnes, H. Verdain ; Jones, Georgeanna Seegar. / Differential ovarian and adrenal vein catheterization. In: American Journal of Obstetrics and Gynecology. 1976 ; Vol. 125, No. 7. pp. 1000-1007.
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