SUCCESSFUL ULTRASONICALLY GUIDED PERCUTANEOUS ETHANOL INJECTION FOR SECONDARY HYPERPARATHYROIDISM

被引:17
作者
TAKEDA, S [1 ]
MICHIGISHI, T [1 ]
TAKAZAKURA, E [1 ]
机构
[1] KANAZAWA UNIV,SCH MED,DEPT NUCL MED,KANAZAWA,ISHIKAWA 920,JAPAN
来源
NEPHRON | 1992年 / 62卷 / 01期
关键词
SECONDARY HYPERPARATHYROIDISM; UREMIA; PERCUTANEOUS ETHANOL INJECTION;
D O I
10.1159/000187005
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
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.
引用
收藏
页码:100 / 103
页数:4
相关论文
共 15 条
[1]   INTRAVENOUS CALCITRIOL IN THE TREATMENT OF REFRACTORY OSTEITIS FIBROSA OF CHRONIC RENAL-FAILURE [J].
ANDRESS, DL ;
NORRIS, KC ;
COBURN, JW ;
SLATOPOLSKY, EA ;
SHERRARD, DJ .
NEW ENGLAND JOURNAL OF MEDICINE, 1989, 321 (05) :274-279
[2]   PERSISTENT PRIMARY HYPERPARATHYROIDISM - SUCCESSFUL ULTRASOUND-GUIDED PERCUTANEOUS ETHANOL ABLATION OF AN OCCULT ADENOMA [J].
CHARBONEAU, JW ;
HAY, ID ;
VANHEERDEN, JA .
MAYO CLINIC PROCEEDINGS, 1988, 63 (09) :913-917
[3]  
CLARK OH, 1981, WESTERN J MED, V135, P154
[4]  
JENSEN PS, 1977, RADIOLOGY, V125, P645, DOI 10.1148/125.3.645
[5]   SUPPRESSION OF SERUM PARATHYROID-HORMONE LEVELS BY INTRAVENOUS ALPHACALCIDOL IN UREMIC PATIENTS ON MAINTENANCE HEMODIALYSIS - A PILOT-STUDY [J].
LIND, L ;
WENGLE, B ;
WIDE, L ;
WREGE, U ;
LJUNGHALL, S .
NEPHRON, 1988, 48 (04) :296-299
[6]   DOUBLE-BLIND TRIAL OF ORAL 1,25-DIHYDROXY VITAMIN-D3 VERSUS PLACEBO IN ASYMPTOMATIC HYPERPARATHYROIDISM IN PATIENTS RECEIVING MAINTENANCE HEMODIALYSIS [J].
MEMMOS, DE ;
EASTWOOD, JB ;
TALNER, LB ;
GOWER, PE ;
CURTIS, JR ;
PHILLIPS, ME ;
CARTER, GD ;
ALAGHBANDZADEH, J ;
ROBERTS, AP ;
DEWARDENER, HE .
BRITISH MEDICAL JOURNAL, 1981, 282 (6280) :1919-1924
[7]  
NUSSBAUM SR, 1987, CLIN CHEM, V33, P1364
[8]   ORAL CALCITRIOL AND CALCIUM - EFFICIENT THERAPY FOR UREMIC HYPERPARATHYROIDISM [J].
QUARLES, LD ;
DAVIDAI, GA ;
SCHWAB, SJ ;
BARTHOLOMAY, DW ;
LOBAUGH, B .
KIDNEY INTERNATIONAL, 1988, 34 (06) :840-844
[9]   DETECTION AND CHARACTERIZATION OF SMALL MIDREGION PARATHYROID-HORMONE FRAGMENT(S) IN NORMAL AND HYPERPARATHYROID GLANDS AND SERA BY IMMUNOEXTRACTION AND REGION-SPECIFIC RADIOIMMUNOASSAYS [J].
ROOS, BA ;
LINDALL, AW ;
ARON, DC ;
ORF, JW ;
YOON, M ;
HUBER, MB ;
PENSKY, J ;
ELLS, J ;
LAMBERT, PW .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1981, 53 (04) :709-721
[10]   HIGH-DOSE CALCITRIOL FOR CONTROL OF RENAL OSTEODYSTROPHY IN CHILDREN ON CAPD [J].
SALUSKY, IB ;
FINE, RN ;
KANGARLOO, H ;
GOLD, R ;
PAUNIER, L ;
GOODMAN, WG ;
BRILL, JE ;
GILLI, G ;
SLATOPOLSKY, E ;
COBURN, JW .
KIDNEY INTERNATIONAL, 1987, 32 (01) :89-95