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Test Code LABAVSPREADD Adrenal Vein Sampling Additional 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 LAV4
  • CORT RAV4
  • CORT IVC4
  • CORT LAV5
  • CORT RAV5
  • CORT IVC5
  • CORT LAV6
  • CORT RAV6
  • CORT IVC6
  • ALDOLAV4
  • ALDO RAV4
  • ALDO IVC4
  • ALDOLAV5
  • ALDORAV5
  • ALDOIVC5
  • ALDO LAV6
  • ALDO RAV6
  • ALDO IVC6

Profile Information

Reporting Name Available Separately Always Reported
Cortisol Left AV4 No No
Cortisol Right AV4 No No
Cortisol IVC4 No No
Cortisol Left AV5 No No
Cortisol Right AV5 No No
Cortisol IVC5 No No
Cortisol Left AV6 No No
Cortisol Right AV6 No No
Cortisol IVC6 No No
Aldosterone Left AV4 No No
Aldosterone Right AV4 No No
Aldosterone IVC4 No No
Aldosterone Left AV5 No No
Aldosterone Right AV5 No No
Aldosterone IVC5 No No
Aldosterone Left AV6 No No
Aldosterone Right AV6 No No
Aldosterone IVC6 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 AV4
3.09-22.40 mcg/dL

 

CORTISOL RIGHT AV4
3.09-22.40 mcg/dL

 

CORTISOL IVC4
3.09-22.40 mcg/dL

 

CORTISOL LEFT AV5
3.09-22.40 mcg/dL

 

CORTISOL RIGHT AV5
3.09-22.40 mcg/dL

 

CORTISOL IVC5
3.09-22.40 mcg/dL

 

CORTSOL LEFT AV6
3.09-22.40 mcg/dL

 

CORTISOL RIGHT AV6
3.09-22.40 mcg/dL

 

CORTISOL IVC6
3.09-22.40 mcg/dL

 

ALDOSTERONE LEFT AV4
<23.20 ng/dL

 

ALDOSTERONE RIGHT AV4
<23.20 ng/dL

 

ALDOSTERONE IVC4
<23.20 ng/dL

 

ALDOSTERONE LEFT AV5
<23.20 ng/dL

 

ALDOSTERONE RIGHT AV5
<23.20 ng/dL

 

ALDOSTERONE IVC5
<23.20 ng/dL

 

ALDOSTERONE LEFT AV6
<23.20 ng/dL

 

ALDOSTERONE RIGHT AV6
<23.20 ng/dL

 

ALDOSTERONE IVC6
<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 AV4
Cortisol Right AV4
Cortisol IVC4
Cortisol Left AV5
Cortisol Right AV5
Cortisol IVC5
Cortisol Left AV6
Cortisol Right AV6
Cortisol IVC6
Aldosterone Left AV4
Aldosterone Right AV4
Aldosterone IVC4
Aldosterone Left AV5
Aldosterone Right AV5
Aldosterone IVC5
Aldosterone Left AV6
Aldosterone Right AV6
Aldosterone IVC6

CPT Code Information

82533 x9
82088 x9

LOINC Code Information

2143-6 x9
1763-2 x9