Transcatheter adrenal arterial embolization of cortisol-producing tumors. Two cases of Cushing's syndrome

Acta Radiol. 1999 Jan;40(1):100-3. doi: 10.1080/02841859909174412.

Abstract

Transcatheter arterial embolization (TAE) was performed in 2 patients with Cushing's syndrome caused by adrenal adenoma by using a mixture of absolute ethanol and iohexol. In 1 patient successful suppression of the hypersecretion of cortisol has continued for 9 months after TAE without complications. However, in the other patient, TAE was discontinued due to marked hypertension and tachycardia induced by a massive release of catecholamines from the embolized "normal" part of the tumor-bearing adrenal gland during the procedure. These results suggest that it is important to perform TAE of only the arterial branches feeding the tumor.

Publication types

  • Case Reports

MeSH terms

  • Adenoma / blood supply
  • Adenoma / diagnostic imaging*
  • Adenoma / therapy
  • Adrenal Gland Neoplasms / blood supply
  • Adrenal Gland Neoplasms / diagnostic imaging*
  • Adrenal Gland Neoplasms / therapy
  • Adult
  • Angiography
  • Cushing Syndrome / diagnostic imaging*
  • Cushing Syndrome / therapy
  • Embolization, Therapeutic*
  • Ethanol
  • Female
  • Humans
  • Hydrocortisone / blood*
  • Iohexol
  • Middle Aged
  • Paraneoplastic Endocrine Syndromes / diagnostic imaging*
  • Paraneoplastic Endocrine Syndromes / therapy
  • Tomography, X-Ray Computed

Substances

  • Ethanol
  • Iohexol
  • Hydrocortisone