Recurrence of hyperparathyroidism after total parathyroidectomy with autotransplantation: a new technique to localize the source of hormone excess.
The diagnosis of persistent or recurrent hyperparathyroidism after total parathyroidectomy with autograft in the forearm needs a correct assessment of graft function. In 6 patients with relapsing hyperparathyroidism after total parathyroidectomy with forearm implant, total ischaemic blockade of the arm bearing the parathyroid graft, produced a 'temporal implantectomy' with reduction of iPTH in those with graft hyperfunction. In 2 patients with proved supernumerary gland, total ischaemia of the 'graft' was not followed by iPTH changes. Total ischaemic blockade of the arm bearing the parathyroid graft is a valuable method for a correct assessment of graft function. It gives useful information in order to avoid or indicate a reoperation of the neck in patients who had previously undergone parathyroidectomy.
de Francisco
A L
AL
Department of Medicine, Hospital Nacional Valdecilla, Faculty of Medicine, University of Cantabria, Santander, Spain.
Amado
J A
JA
Casanova
D
D
Briz
E
E
Riancho
J
J
Cotorruelo
J
J
de Bonis
E
E
Canga
E
E
Arias
M
M
D000328:Adult; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000453:epidemiology / Q000378:metabolism*; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010280:Parathyroid Glands / Q000378:metabolism / Q000637:transplantation*; D010281:Parathyroid Hormone / Q000097:blood*; D016105:Parathyroidectomy; D012008:Recurrence; D014182:Transplantation, Autologous
D010281:Parathyroid Hormone