title: Intraoperative Parathyroid Hormone Monitoring: Optimal Utilization.
abstract: Intraoperative parathyroid hormone (IOPTH) monitoring is a highly accurate surgical adjunct used to determine the extent of surgery in the setting of primary hyperparathyroidism. It is the successful interpretation of changes in PTH levels that is essential for using this technique in a way to optimize cure. Thus, it is imperative that the surgeon has an understanding of PTH dynamics and carefully chooses the appropriate IOPTH protocol and interpretation criteria that will best predict operative success, minimize unnecessary bilateral exploration, decrease the likelihood of resecting parathyroid glands that are not hypersecreting, and prevent recurrence.
authors.affiliation: Division of Endocrine Surgery, Department of Surgery, NYU Langone Medical Center, New York, NY, USA; Department of Biochemistry and Molecular Pharmacology, NYU Langone Medical Center, New York, NY, USA; Department of Otolaryngology, NYU Langone Medical Center, New York, NY, USA. Electronic address: kepal.patel@nyumc.org.
authors.forename: Kepal N
authors.initials: KN
authors.lastname: Patel
authors.affiliation: NYU School of Medicine, New York, NY, USA.
authors.forename: Raul
authors.initials: R
authors.lastname: Caso
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D049950:Hyperparathyroidism, Primary / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D016343:Monitoring, Intraoperative / Q000379:methods*; D010281:Parathyroid Hormone / Q000097:blood*; D016105:Parathyroidectomy / Q000379:methods*
chemical_list: D010281:Parathyroid Hormone
keywords: Intraoperative PTH monitoring; Minimally invasive parathyroidectomy; PTH; Primary hyperparathyroidism