Evidence map›Paper›PMID 42487664›Full record

ArticleInternational journal of endocrinology2026

Beyond Drugs and Surgery: Superselective Adrenal Artery Embolization Redefines Primary Aldosteronism Management-A Systematic Review and Meta-Analysis.

Kimia Darmiani, Mehrad Zare, Alisa Mohebbi, Mohammad Mirza-Aghazadeh-Attari, Mohammad Ghasemi Rad, Afshin Mohammadi

Abstract read
In one paragraph

Article in International journal of endocrinology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Kimia DarmianiSchool of Medicine, Tehran University of Medical Sciences, Enghelab Square, Tehran, Iran, tums.ac.ir.ORCID https://orcid.org/0000-0001-5112-2436
Mehrad ZareSchool of Medicine, Tehran University of Medical Sciences, Enghelab Square, Tehran, Iran, tums.ac.ir.ORCID https://orcid.org/0000-0002-7961-0631
Alisa MohebbiSchool of Medicine, Tehran University of Medical Sciences, Enghelab Square, Tehran, Iran, tums.ac.ir.ORCID https://orcid.org/0009-0001-3393-3451
Mohammad Mirza-Aghazadeh-AttariDepartment of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA, jhu.edu.
Mohammad Ghasemi RadDepartment of Radiology, Division of Vascular and Interventional Radiology, Baylor College of Medicine, Houston, Texas, USA, bcm.edu.ORCID https://orcid.org/0000-0001-6763-900X
Afshin MohammadiRadiology Department, Faculty of Medicine, Urmia University of Medical Science, Urmia, Iran, umsu.ac.ir.ORCID https://orcid.org/0000-0002-9557-3359

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Primary aldosteronism (PA) is a leading cause of secondary hypertension associated with increased cardiovascular and cerebrovascular risk. Superselective adrenal artery embolization (SAAE) has emerged as a minimally invasive alternative to adrenalectomy and mineralocorticoid receptor antagonists (MRAs). This systematic review and meta-analysis evaluates the efficacy and safety of SAAE in PA management. Methods: We searched PubMed, Web of Science, Embase, and Cochrane Library through June 2026 for studies enrolling patients with PA treated by SAAE. Outcomes of interest were changes in blood pressure (BP), biochemical markers (serum potassium, aldosterone, renin activity, and aldosterone-to-renin ratio), clinical and biochemical response rates, daily defined dose change, and adverse events. Data were pooled using a random-effects model. Results: Nineteen studies comprising 1242 patients undergoing SAAE met inclusion criteria. SAAE achieved substantial BP reductions: office systolic BP -19.71 mmHg ( Conclusions: SAAE is an effective and somewhat safe treatment for PA that achieves meaningful BP control, biochemical normalization, and reduced medication burden. It represents a valuable option for patients ineligible for or intolerant of surgery or MRAs.

Indexed as

primary aldosteronism (PA)safety and efficacysuperselective adrenal artery embolization (SAAE)

Identifiers

PMID42487664
PMCPMC13389810

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.