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Test Code LABADRENAL Adrenal Vein Sampling Pre Stimulation

Clinical Information

Purpose: To facilitate real-time knowledge of catheter position within the adrenal veins. Specimens will be sent on a selective basis dependent on case complexity; therefore, no samples may be sent in some cases if the adrenal veins are clearly accessed. Successful cannulation of the adrenal veins is indicated by an adrenal vein cortisol:IVC cortisol level ≥ 3 and is done for both left and right sides. If both adrenal veins are confirmed to have been cannulated, procedure continues. If either adrenal vein has not been cannulated, the catheter is repositioned, and the procedure continues. 

Synonym

  • CORT LAV1
  • CORT RAV1
  • CORT IVC1
  • CORT LAV2
  • CORT RAV2
  • CORT IVC2
  • CORT LAV3
  • CORT RAV3
  • CORT IVC3
  • ALDOLAV1
  • ALDO RAV1
  • ALDO IVC1
  • ALDOLAV2
  • ALDORAV2
  • ALDOIVC2
  • ALDO LAV3
  • ALDO RAV3
  • ALDO IVC3

Profile Information

Reporting Name Available Separately Always Reported
Cortisol Left AV1 No No
Cortisol Right AV1 No No
Cortisol IVC1 No No
Cortisol Left AV2 No No
Cortisol Right AV2 No No
Cortisol IVC2 No No
Cortisol Left AV3 No No
Cortisol Right AV3 No No
Cortisol IVC3 No No
Aldosterone Left AV1 No No
Aldosterone Right AV1 No No
Aldosterone IVC1 No No
Aldosterone Left AV2 No No
Aldosterone Right AV2 No No
Aldosterone IVC2 No No
Aldosterone Left AV3 No No
Aldosterone Right AV3 No No
Aldosterone IVC3 No No

Specimen Required

Preferred Container/Tube: Gold SST Top
Acceptable Container/Tube: Gold SST Top
Specimen Volume: 3 mL
Specimen Minimum Volume: 1 mL

Specimen Stability Information

Refrigerated: 5 days
Frozen: 4 weeks

Specimen Collection Information

If the assay is performed within 5 days of sample collection, the samples may be kept at 2-8° C; otherwise, they should be dispensed in aliquots and stored deep-frozen (-20° C or below). Samples are stable for 4 weeks at -20° C.  Note time of day and position of patient (supine or upright).
Blood should be collected aseptically by venipuncture, allowed to clot, and the serum separated from the clot as soon as possible. Specimens may be stored in glass or plastic vials. No additives or preservatives are required to maintain integrity of the sample. Hemolyzed samples may indicate mistreatment of a specimen before receipt by the laboratory; hence the results should be interpreted with caution; samples with low levels of Aldosterone have been shown to be adversely affected by hemolysis and should be interpreted with caution. Icteric or grossly contaminated samples may give erroneous results. 

Rejected Due To

  • Ambient specimens

Reference Values

CORTISOL LEFT AV1
3.09-22.40 mcg/dL

 

CORTISOL RIGHT AV1
3.09-22.40 mcg/dL

 

CORTISOL IVC1
3.09-22.40 mcg/dL

 

CORTISOL LEFT AV2
3.09-22.40 mcg/dL

 

CORTISOL RIGHT AV2
3.09-22.40 mcg/dL

 

CORTISOL IVC2
3.09-22.40 mcg/dL

 

CORTSOL LEFT AV3
3.09-22.40 mcg/dL

 

CORTISOL RIGHT AV3
3.09-22.40 mcg/dL

CORTISOL IVC3
3.09-22.40 mcg/dL

 

ALDOSTERONE LEFT AV1
<23.20 ng/dL

 

ALDOSTERONE RIGHT AV1
<23.20 ng/dL

 

ALDOSTERONE IVC1
<23.20 ng/dL

 

ALDOSTERONE LEFT AV2
<23.20 ng/dL

 

ALDOSTERONE RIGHT AV2
<23.20 ng/dL

 

ALDOSTERONE IVC2
<23.20 ng/dL

 

ALDOSTERONE LEFT AV3
<23.20 ng/dL

 

ALDOSTERONE RIGHT AV3
<23.20 ng/dL

 

ALDOSTERONE IVC3
<23.20 ng/dL

Interpretation

Aldosterone Reference Range

Plasma Upright: <35.30 ng/dL 
Plasma Supine: <23.60 ng/dL 
Serum Upright: <39.20 ng/dL 
Serum Supine: <23.20 ng/dL 

Method Description

Chemiluminescent immunoassay

Performing Lab

Clinical Lab UH

Day(s) Performed

Tuesday and Friday (excludes OSU holidays)

Report Available

4 to 6 days

Reporting Name

Cortisol Left AV1
Cortisol Right AV1
Cortisol IVC1
Cortisol Left AV2
Cortisol Right AV2
Cortisol IVC2
Cortisol Left AV3
Cortisol Right AV3
Cortisol IVC3
Aldosterone Left AV1
Aldosterone Right AV1
Aldosterone IVC1
Aldosterone Left AV2
Aldosterone Right AV2
Aldosterone IVC2
Aldosterone Left AV3
Aldosterone Right AV3
Aldosterone IVC3

CPT Code Information

82533 x9
82088 x9

LOINC Code Information

2143-6 x9
1763-2 x9