Angiographic ablation of mediastinal parathyroid adenomas: local experience and review of the literature.
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.
Heller
H J
HJ
Center for Mineral Metabolism and Clinical Research, University of Texas Southwestern Medical Center at Dallas 75235-8891.
Miller
G L
GL
Erdman
W A
WA
Snyder
W H
WH
Breslau
N A
NA
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