Abstract:
:Nonselective arterial digital arteriography (NSADA), selective parathyroid arteriography (SPA), and venous digital arteriography (VDA) were compared as methods of detecting parathyroid enlargement in 14 patients with primary hyperparathyroidism undergoing preoperative localization following unsuccessful neck surgery. All 14 had SPA and NSADA, consisting of contrast injections into the ascending aorta, innominate artery, and left subclavian artery; 7 also had VDA. Surgery was performed in 9 patients, and 2 additional glands were confirmed by fine-needle aspiration and venous sampling. Parathyroid glands could not be located in 3 patients, who were not re-explored. SPA demonstrated 11/13 abnormal glands (85%). NSADA detected 7/13 (54%), and there were 2 false positives. VDA showed 5/6 glands detected by NSADA (83%); the seventh patient did not have VDA. The overall quality of VDA was inferior to NSADA. Although NSADA and VDA are less sensitive than SPA, they are safer and easier to perform and should be the initial vascular screening procedures following unsuccessful parathyroid surgery.
journal_name
Radiologyjournal_title
Radiologyauthors
Krudy AG,Doppman JL,Miller DL,Marx SJ,Norton JA,Santora AC 2nd,Lasker RD,Downs RW,Spiegel AM,Aurbach GDdoi
10.1148/radiology.148.1.6134300subject
Has Abstractpub_date
1983-07-01 00:00:00pages
23-9issue
1eissn
0033-8419issn
1527-1315journal_volume
148pub_type
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