The Essentials of Parathyroid Hormone Venous Sampling

被引：16

作者：

Taslakian, Bedros ^{[1
]}

Trerotola, Scott O. ^{[2
]}

Sacks, Barry ^{[3
]}

Oklu, Rahmi ^{[4
]}

Deipolyi, Amy ^{[5
]}

机构：

[1] NYU, Dept Radiol, Sch Med, NYU Langone Med Ctr, 560 1St Ave, New York, NY 10016 USA

[2] Univ Penn, Dept Radiol, Perelman Sch Med, Philadelphia, PA 19104 USA

[3] Beth Israel Deaconess Med Ctr, Dept Intervent Radiol, Boston, MA 02215 USA

[4] Mayo Clin, Dept Intervent Radiol, Scottsdale, AZ USA

[5] Mem Sloan Kettering Canc Ctr, Dept Radiol, 1275 York Ave, New York, NY 10065 USA

来源：

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | 2017年 / 40卷 / 01期

关键词：

Hyperparathyroidism; Primary hyperparathyroidism; Parathyroid hormone; Parathyroid venous sampling; Selective venous sampling; Interventional radiology; MINIMALLY INVASIVE PARATHYROIDECTOMY; SPORADIC PRIMARY HYPERPARATHYROIDISM; EVERY INTERVENTIONAL RADIOLOGIST; REOPERATIVE PARATHYROIDECTOMY; THYROID VEINS; PREOPERATIVE LOCALIZATION; PATIENT-EVALUATION; SURGICAL ANATOMY; RECURRENT; ADENOMAS;

D O I：

10.1007/s00270-016-1481-4

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Hyperparathyroidism is an excess of parathyroid hormone in the blood due to over-activity of one or more parathyroid gland. Localization of abnormal glands with noninvasive imaging modalities, such as technetium sestamibi scan and cross-sectional imaging, has a high success rate. Parathyroid venous sampling is performed for patients with persistent or recurrent disease after previous parathyroid surgery, when repeat noninvasive imaging studies are negative or discordant. The success of invasive localization studies and results interpretation is dependent on the interventional radiologist's understanding of the normal and ectopic anatomic locations of parathyroid glands, as well as their blood supply and venous drainage. Anatomic and technical considerations for selective parathyroid venous sampling are reviewed.

引用

页码：9 / 21

页数：13

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