Thyroid No Surgery 101: Ethanol Ablation in Renal Failure Patients:Endocrinologists Need to Think About PEI in Secondary or Tertiary Hyperparathyroidism.

Thyroid No Surgery 101: Ethanol Ablation in Renal Failure Patients:Endocrinologists Need to Think About PEI in Secondary or Tertiary Hyperparathyroidism.

Thyroid No Surgery 101: Ethanol Ablation in Renal Failure Patients:Endocrinologists Need to Think About PEI in Secondary or Tertiary Hyperparathyroidism.
Thyroid No Surgery 101: Ethanol Ablation in Renal Failure Patients:Endocrinologists Need to Think About PEI in Secondary or Tertiary Hyperparathyroidism.
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parathyroid hyperplasia due to renal failure

Ultrasound-guided percutaneous ethanol ablation of parathyroid hyperplasia: preliminary experience in patients on chronic dialysis.

Schamp S1,Ultraschall Med. 2004 Apr;25(2):131-6.
Ultrasonography-guided, percutaneous ethanol ablation (PEA) of hyperplastic parathyroid glands in chronic dialysis patients suffering from secondary or tertiary hyperparathyroidism.

  1. Seventeen uraemic patients (mean age 52 +/- 14 years) with hypercalcaemia and elevated serum levels of parathyroid hormone were assessed for ethanol ablation.
  2. 10/17 patients did not fulfill the inclusion criteria and underwent surgical parathyroidectomy.
  3. 7/17 patients were treated using PEI.
  4. 3/7 patients underwent further ethanol ablation due to recurrent symptomatic hyperparathyroidism.
  5. Following the procedures, serum values of total calcium and parathyroid hormone remained within target range with concomitant medical therapy in all patients.
  6. PEI performed as a single-shot therapy can be used as a minimally invasive and safe supplement to medical therapy in the treatment of secondary or tertiary hyperparathyroidism in selected patients.
  7. In case of recurrence, treatment can be repeated without any problems.
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