Parathyroid Radiofrequency Ablation Therapy: Alternative to Surgery for Parathyroid Adenomas
Dr.Guttler’s comments: A case is reported of the use of RF to treat a parathyroid adenoma.
- The key to doing parathyroid RF for adenoma is to use saline microdissection method to push the adenoma away from the recurrent nerve with a blanket of saline.
- “The saline injection technique shifted the parathyroid gland laterally, so that the distance between the nerve and the parathyroid gland was sufficient to prevent burn injury.”
- An example of protecting vital structures with an injection of saline or dextrose is seen in this US image where the space is formed to push the intended target away from the dangerous structure.
- A Inferior located parathyroid adenoma is the best for parathyroid RF treatment
- Call me at 310-393-8860 or secure email at firstname.lastname@example.org to see if you can avoid surgery.
- Featured US image is of an inferior located parathyroid adenoma.
Radiofrequency ablation of parathyroid adenoma in primary hyperparathyroidism
We present a case of a 32-year-old woman with hyperparathyroidism, treated with ultrasound-guided percutaneous radiofrequency ablation (RFA). RFA, assisted by saline injection inferomedial to the parathyroid, is a safe technique that prevents burn injury to the nerve. The saline injection technique shifted the parathyroid gland laterally, so that the distance between the nerve and the parathyroid gland was sufficient to prevent burn injury. The completeness of tissue ablation was evaluated based on Doppler ultrasound imaging and serum intact parathyroid hormone (iPTH) level immediately after RFA. There were no complications associated with RFA. Serum iPTH levels normalized during follow-up for 20 months.
It was possible to perform RFA for primary parathyroid adenoma safely using a saline injection technique.