Selective Arterial Calcium Stimulation with Hepatic Venous Sampling in Patients with Recurrent Endogenous Hyperinsulinemic Hypoglycemia and Metastatic Insulinoma: Evaluation in Five Patients

Scott M. Thompson; Adrian Vella; F. John Service; Geoffrey Thompson; James C. Andrews

doi:10.1016/j.jvir.2017.06.039

Selective Arterial Calcium Stimulation with Hepatic Venous Sampling in Patients with Recurrent Endogenous Hyperinsulinemic Hypoglycemia and Metastatic Insulinoma: Evaluation in Five Patients

Scott M. Thompson, Adrian Vella, F. John Service, Geoffrey Thompson, James C. Andrews

Endocrinology, Diabetes, Metabolism, and Nutrition

Research output: Contribution to journal › Article › peer-review

Abstract

Selective arterial calcium stimulation (SACST) with hepatic venous sampling was performed in 5 patients (3 female, 2 male; age range, 53–73 y) with recurrent endogenous hyperinsulinemic hypoglycemia caused by metastatic insulinoma between January 2004 and December 2014. The biochemical results of SACST confirmed functional hepatic metastases alone (n = 3), peripancreatic lymph-node and hepatic metastases (n = 1), and occult insulinoma in the pancreatic bed (n = 1), thereby helping to guide management. SACST may be useful to determine the extent of functional metastatic insulinoma, particularly within the liver, and may provide clinicians with additional information to help guide the multidisciplinary management of patients with recurrent endogenous hyperinsulinemic hypoglycemia.

Original language	English (US)
Pages (from-to)	1745-1749
Number of pages	5
Journal	Journal of Vascular and Interventional Radiology
Volume	28
Issue number	12
DOIs	https://doi.org/10.1016/j.jvir.2017.06.039
State	Published - Dec 2017

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

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Thompson, S. M., Vella, A., Service, F. J., Thompson, G., & Andrews, J. C. (2017). Selective Arterial Calcium Stimulation with Hepatic Venous Sampling in Patients with Recurrent Endogenous Hyperinsulinemic Hypoglycemia and Metastatic Insulinoma: Evaluation in Five Patients. Journal of Vascular and Interventional Radiology, 28(12), 1745-1749. https://doi.org/10.1016/j.jvir.2017.06.039

Selective Arterial Calcium Stimulation with Hepatic Venous Sampling in Patients with Recurrent Endogenous Hyperinsulinemic Hypoglycemia and Metastatic Insulinoma: Evaluation in Five Patients. / Thompson, Scott M.; Vella, Adrian; Service, F. John et al.
In: Journal of Vascular and Interventional Radiology, Vol. 28, No. 12, 12.2017, p. 1745-1749.

Research output: Contribution to journal › Article › peer-review

Thompson, SM, Vella, A, Service, FJ, Thompson, G & Andrews, JC 2017, 'Selective Arterial Calcium Stimulation with Hepatic Venous Sampling in Patients with Recurrent Endogenous Hyperinsulinemic Hypoglycemia and Metastatic Insulinoma: Evaluation in Five Patients', Journal of Vascular and Interventional Radiology, vol. 28, no. 12, pp. 1745-1749. https://doi.org/10.1016/j.jvir.2017.06.039

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abstract = "Selective arterial calcium stimulation (SACST) with hepatic venous sampling was performed in 5 patients (3 female, 2 male; age range, 53–73 y) with recurrent endogenous hyperinsulinemic hypoglycemia caused by metastatic insulinoma between January 2004 and December 2014. The biochemical results of SACST confirmed functional hepatic metastases alone (n = 3), peripancreatic lymph-node and hepatic metastases (n = 1), and occult insulinoma in the pancreatic bed (n = 1), thereby helping to guide management. SACST may be useful to determine the extent of functional metastatic insulinoma, particularly within the liver, and may provide clinicians with additional information to help guide the multidisciplinary management of patients with recurrent endogenous hyperinsulinemic hypoglycemia.",

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Selective Arterial Calcium Stimulation with Hepatic Venous Sampling in Patients with Recurrent Endogenous Hyperinsulinemic Hypoglycemia and Metastatic Insulinoma: Evaluation in Five Patients

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