Successful repeat transcatheter ablation of a mediastinal parathyroid adenoma 6 years after alcohol embolization.
Recurrent hyperparathyroidism is rare following transcatheter ablation of mediastinal parathyroid adenomas. When it occurs it is usually early and resistant to further attempts at ablation. We present a patient with primary hyperparathyroidism in whom two surgical attempts at cure had been unsuccessful. Subsequently, a mediastinal adenoma was demonstrated angiographically and embolized with absolute alcohol. Hyperparathyroidism recurred 6 years later and the mediastinal adenoma was subsequently successfully ablated a second time by angiographic embolization with ionic contrast medium.
Cook
G J
GJ
Department of Nuclear Medicine, Guy's Hospital, London SE1 9RT, United Kingdom.
Fogelman
I
I
Reidy
J F
JF
D000236:Adenoma / Q000098:blood supply / Q000628:therapy*; D000328:Adult; D015901:Angiography, Digital Subtraction; D002828:Choristoma / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000379:methods; D000431:Ethanol / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D008479:Mediastinal Neoplasms / Q000098:blood supply / Q000628:therapy*; D010282:Parathyroid Neoplasms / Q000098:blood supply / Q000628:therapy*; D015641:Radiography, Interventional; D012008:Recurrence
D000431:Ethanol