Work in progress: Abnormal parathyroid glands

A. G. Krudy, J. L. Doppman, D. L. Miller, S. J. Marx, J. A. Norton, A. C. Santora, R. D. Lasker, R. W. Downs, Allen M. Spiegel, G. D. Aurbach

Research output: Contribution to journalArticle

8 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)23-29
Number of pages7
JournalRadiology
Volume148
Issue number1
StatePublished - 1983
Externally publishedYes

Fingerprint

Parathyroid Glands
Angiography
Brachiocephalic Trunk
Subclavian Artery
Primary Hyperparathyroidism
Fine Needle Biopsy

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Krudy, A. G., Doppman, J. L., Miller, D. L., Marx, S. J., Norton, J. A., Santora, A. C., ... Aurbach, G. D. (1983). Work in progress: Abnormal parathyroid glands. Radiology, 148(1), 23-29.

Work in progress : Abnormal parathyroid glands. / Krudy, A. G.; Doppman, J. L.; Miller, D. L.; Marx, S. J.; Norton, J. A.; Santora, A. C.; Lasker, R. D.; Downs, R. W.; Spiegel, Allen M.; Aurbach, G. D.

In: Radiology, Vol. 148, No. 1, 1983, p. 23-29.

Research output: Contribution to journalArticle

Krudy, AG, Doppman, JL, Miller, DL, Marx, SJ, Norton, JA, Santora, AC, Lasker, RD, Downs, RW, Spiegel, AM & Aurbach, GD 1983, 'Work in progress: Abnormal parathyroid glands', Radiology, vol. 148, no. 1, pp. 23-29.
Krudy AG, Doppman JL, Miller DL, Marx SJ, Norton JA, Santora AC et al. Work in progress: Abnormal parathyroid glands. Radiology. 1983;148(1):23-29.
Krudy, A. G. ; Doppman, J. L. ; Miller, D. L. ; Marx, S. J. ; Norton, J. A. ; Santora, A. C. ; Lasker, R. D. ; Downs, R. W. ; Spiegel, Allen M. ; Aurbach, G. D. / Work in progress : Abnormal parathyroid glands. In: Radiology. 1983 ; Vol. 148, No. 1. pp. 23-29.
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