What is the role of percutaneous ablation in the treatment of primary hyperparathyroidism?

Updated: Oct 02, 2018
  • Author: Lawrence Kim, MD, FACS, FACE; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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Answer

Answer

Percutaneous alcohol injection, ablation with ultrasound energy, and other percutaneous ablation techniques of the parathyroid gland have been suggested as an alternative treatment in patients with primary hyperparathyroidism who cannot or will not undergo surgery. Percutaneous techniques have had high complication rates in small numbers of patients, however, mainly because of the close proximity to the recurrent laryngeal nerve, particularly for the superior glands. Routine use of these percutaneous techniques cannot yet be supported.


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