Parathyroid No Surgery: Radiofrequency Parathyroid Adenoma Ablation

Parathyroid No Surgery: Radiofrequency Parathyroid Adenoma Ablation

Parathyroid No Surgery: Radiofrequency Parathyroid Adenoma Ablation

Parathyroid No Surgery: Radiofrequency  RFA Parathyroid Adenoma  PTA Ablation.

 

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The PTA is located near the recurrent nerve and carotid. The procedure is based on moving the PTA away from this area before the ablation.

  1. Surgery is the present standard treatment for hyperparathyroidism due to a parathyroid adenoma.
  2. The availability of short  thin electrodes with small hot tip of 5 mm has been used to treat PTA without surgery.
  3.  A confirming FNA and needle washout for PTH is the first step.
  4. The procedure begins local injection of lidocaine followed by with an injection of  iced 5% dextrose to create space between the PTA and the danger triangle where the recurrent nerve is
  5. located.
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  7. The red is the adenoma and the green is the dextrose collar around it.
  8. Then the #19 gauge narrow electrode with a 5 mm hot tip is inserted into the PTA.
  9. Adjustable watt control allow the amount of heat needed to ablate the PTA.
  10. The amount varies from 10-40 watts.
  11. Ablation seen in 4 views. A. active ablation D. is the lack of Doppler blood flow after and the C is the hyperechoic area of ablation.
  12. ultrasound-guided-intervention-in-parathyroid-adenoma_q320
  13. The patient is awake and is asked how the voice is frequently during the procedure.
  14. If voice changes occur the procedure is aborted and iced saline is injected around the nerve to shorten recovery.
  15. Call me at 310-393-8860 or secure email to [email protected] for details if you are considering surgery for your PTA for my evaluation if you are a candidate for parathyroid RFA.
  16. Dr.G.
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