Skip to main content
Log in

Successful repeat transcatheter ablation of a mediastinal parathyroid adenoma 6 years after alcohol embolization

  • Case Reports
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Wang CA (1977) Parathyroid re-exploration: A clinical and pathological study of 112 cases. Ann Surg 186:140–145

    Article  PubMed  CAS  Google Scholar 

  2. Geelhoed GW, Krudy AG, Doppman JL (1983) Long-term follow-up of patients with hyperparathyroidism treated by transcatheter staining with contrast agent. Surgery 94:849–862

    PubMed  CAS  Google Scholar 

  3. Miller DL, Doppman JL, Chang R, Simmons JT, O’Leary TJ, Norton JA, Spiegel AM, Marx SJ, Aurbach GD (1987) Angiographic ablation of parathyroid adenomas: Lessons from a 10-year experience. Radiology 165:601–607

    PubMed  CAS  Google Scholar 

  4. Miller DL, Doppman JL, Krudy AG, Shawker TH, Norton JA, Vucich JJ, Morrish KA, Marx SJ, Spiegel AM, Aurbach GD (1987) Localization of parathyroid adenomas in patients who have undergone surgery. II. Invasive procedures. Radiology 162:138–141

    PubMed  CAS  Google Scholar 

  5. Miller DL, Chang R, Doppman JL, Norton JA (1989) Localization of parathyroid adenomas: Superselective arterial DSA versus superselective conventional. Radiology 170:1003–1006

    PubMed  CAS  Google Scholar 

  6. Pallotta JA, Sacks BA, Moller DE, Eisenberg H (1989) Arteriographic ablation of cervical parathyroid adenomas. J Clin Endocrinol 69:1249–1255

    Article  CAS  Google Scholar 

  7. Russell CF, Edis AJ, Scholz DA, Sheedy PF, Vanheerden JA (1981) Mediastinal parathyroid tumours: Experience with 38 tumours requiring mediastinotomy. Ann Surg 193:805–809

    Article  PubMed  CAS  Google Scholar 

  8. Gunther R, Beyer J, Hesch H, Reinwein D (1984) Perkutäne Transkatheterausschaltung von Epithelkorperchentumoren durch Alkoholinjektion und Kontrastmittelüberflutung. Fortschr Geb Rontgenstralen Nuklearmed 140:27–30

    Article  CAS  Google Scholar 

  9. Reidy JF, Ryan PJ, Fogelman I, Lewis JL (1993) Ablation of mediastinal parathyroid adenomas by superselective embolization of the internal mammary artery with alcohol. Clin Radiol 47:170–173

    Article  PubMed  CAS  Google Scholar 

  10. Doppman JL, Brown EM, Brennan MF, Spiegal A, Marx SJ, Aurbach GD (1979) Angiographic ablation of parathyroid adenomas. Radiology 130:577–582

    PubMed  CAS  Google Scholar 

  11. Krudy AG, Doppman JL, Marx SJ, Spiegel AM, Aurbach G, Brennan MF (1981) Failure of ablation of a mediastinal parathyroid adenoma by repeated contrast staining. Radiology 140:63–65

    PubMed  CAS  Google Scholar 

  12. Wagner PK (1986) Autotransplantation of fresh and cryopreserved human parathyroid tissue. Prog Surg 18:206–220

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Cook, G.J.R., Fogelman, I. & Reidy, J.F. Successful repeat transcatheter ablation of a mediastinal parathyroid adenoma 6 years after alcohol embolization. Cardiovasc Intervent Radiol 20, 314–316 (1997). https://doi.org/10.1007/s002709900157

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s002709900157

Key words

Navigation