title: Angiographic ablation of mediastinal parathyroid adenomas: local experience and review of the literature.
abstract: OBJECTIVE
  To evaluate local experience with a modified technique for angiographic ablation of mediastinal parathyroid adenomas.
  
  
  METHODS
  Three patients with likely mediastinal parathyroid adenomas that had single feeding arteries underwent attempted arteriographic ablation with a slow continuous infusion of contrast medium. Patients were closely monitored for symptoms and calcium dynamics immediately postprocedure and then on a long-term outpatient basis.
  
  
  RESULTS
  All three patients were cured (follow-up 22 to 68 months) with no long-term complications.
  
  
  CONCLUSIONS
  Percutaneous angiographic ablation with contrast medium is a reasonable alternative for patients with hyperparathyroidism due to a mediastinal adenoma who can be treated in centers with well-trained interventional radiologists.
authors.affiliation: Center for Mineral Metabolism and Clinical Research, University of Texas Southwestern Medical Center at Dallas 75235-8891.
authors.forename: H J
authors.initials: HJ
authors.lastname: Heller
authors.forename: G L
authors.initials: GL
authors.lastname: Miller
authors.forename: W A
authors.initials: WA
authors.lastname: Erdman
authors.forename: W H
authors.initials: WH
authors.lastname: Snyder
authors.forename: N A
authors.initials: NA
authors.lastname: Breslau
mesh_terms: D000236:Adenoma / Q000150:complications / Q000628:therapy*; D000293:Adolescent; D000328:Adult; D000792:Angiography; D017115:Catheter Ablation / Q000379:methods*; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000209:etiology / Q000628:therapy; D008297:Male; D008479:Mediastinal Neoplasms / Q000150:complications / Q000628:therapy*; D008875:Middle Aged; D010282:Parathyroid Neoplasms / Q000150:complications / Q000628:therapy*; D016896:Treatment Outcome