1. The Results of Ultrasonography-Guided Percutaneous Radiofrequency Ablation in Hyperparathyroid Patients in Whom Surgery Is Not Feasible.
- Author
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Sormaz IC, Poyanlı A, Açar S, İşcan AY, Ozgur İ, Tunca F, and Senyürek YG
- Subjects
- Adolescent, Adult, Aged, Female, Humans, Male, Middle Aged, Parathyroid Glands diagnostic imaging, Parathyroid Glands surgery, Treatment Outcome, Catheter Ablation methods, Hyperparathyroidism diagnostic imaging, Hyperparathyroidism surgery, Ultrasonography, Interventional methods
- Abstract
Background: The aim of the study was to evaluate the results of ultrasonography (US)-guided percutaneous radiofrequency ablation (RFA) in hyperparathyroid patients who refused surgery or had high surgical risks., Patients and Methods: Five patients with hyperparathyroidism (HPT) underwent US-guided RFA for a single hyperfunctioning parathyroid lesion. Post-ablation serum calcium and parathormone (PTH) assays were performed. All patients underwent imaging studies 6 months after the ablation to visualize the post-ablation change in the size of the treated parathyroid lesions., Results: All patients were normocalcemic on the post-ablation 1st day and 6th month. The post-ablation PTH levels were normal in three patients but remained elevated in two patients. The size of the parathyroid lesion was ≥30 mm in the two patients with elevated PTH, whereas the lesion was smaller than 30 mm in those with normal post-ablation PTH values., Conclusion: Although this is a limited case series, it demonstrates the potential feasibility of RFA for HPT. Benefits were achieved particularly in patients with small parathyroid lesions.
- Published
- 2017
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