Successful Ultrasonically Guided Percutaneous Ethanol Injection for Secondary Hyperparathyroidism
作者:
Shin-ichi Takeda,
Takatoshi Michigishi,
Eisuke Takazakura,
期刊:
Nephron
(Karger Available online 1992)
卷期:
Volume 62,
issue 1
页码: 100-103
ISSN:1660-8151
年代: 1992
DOI:10.1159/000187005
出版商: S. Karger AG
关键词: Secondary hyperparathyroidism;Uremia;Percutaneous ethanol injection
数据来源: Karger
摘要:
Ultrasonically guided percutaneous ethanol injection to all of four enlarged parathyroid glands, which were confirmed by fine-needle aspiration biopsy, was successfully performed in a hemodialysis patient with secondary hyperparathyroidism. In addition to marked reduction of serum parathyroid hormone, the size of parathyroid glands was significantly decreased after the procedure. As an adverse effect, the patient experienced a transient self-limiting dysphonia due to right recurrent nerve palsy after the first injection. This procedure may be an effective alternative to surgical treatment or administration of high-dose 1,25(OH)2 vitamin D3 in uremic patients with sonographically verified multiple enlarged parathyroid glands.
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