Is intraoperative parathyroid hormone monitoring necessary with ipsilateral parathyroid gland visualization during anticipated unilateral exploration for primary hyperparathyroidism: A two-institution analysis of more than 2,000 patients

Introduction Intraoperative parathyroid hormone (ioPTH) monitoring during focused parathyroidectomy for primary hyperparathyroidism (PHPT) is used commonly, but some argue that ioPTH adds little if a normal ipsilateral parathyroid gland (IPG) is visualized. This hypothesis was tested for validity. M...

Full description

Saved in:
Bibliographic Details
Published in:Surgery 2014-10, Vol.156 (4), p.760-768
Main Authors: Rajaei, Mohammad H., MD, Oltmann, Sarah C., MD, Adkisson, Cameron D., MD, Elfenbein, Dawn M., MD, MPH, Chen, Herbert, MD, Carty, Sally E., MD, McCoy, Kelly L., MD
Format: Article
Language:English
Subjects:
Adenoma - complications
Adenoma - pathology
Adenoma - surgery
Biomarkers - blood
Female
Follow-Up Studies
Humans
Hyperparathyroidism, Primary - blood
Hyperparathyroidism, Primary - etiology
Hyperparathyroidism, Primary - surgery
Male
Middle Aged
Monitoring, Intraoperative
Parathyroid Glands - pathology
Parathyroid Glands - surgery
Parathyroid Hormone - blood
Parathyroid Neoplasms - complications
Parathyroid Neoplasms - pathology
Parathyroid Neoplasms - surgery
Parathyroidectomy
Retrospective Studies
Surgery
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Introduction Intraoperative parathyroid hormone (ioPTH) monitoring during focused parathyroidectomy for primary hyperparathyroidism (PHPT) is used commonly, but some argue that ioPTH adds little if a normal ipsilateral parathyroid gland (IPG) is visualized. This hypothesis was tested for validity. Methods The prospective databases of consecutive patients with PHPT undergoing initial parathyroidectomy with ioPTH at two academic institutions were queried. Patients with ectopic adenoma, familial PHPT, previous parathyroidectomy, planned bilateral exploration, or
ISSN:0039-6060
1532-7361
DOI:10.1016/j.surg.2014.06.060