The Essentials of Parathyroid Hormone Venous Sampling
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- 作者：Bedros Taslakian ; Scott O. Trerotola…
- 关键词：Hyperparathyroidism ; Primary hyperparathyroidism ; Parathyroid hormone ; Parathyroid venous sampling ; Selective venous sampling ; Interventional radiology
- 刊名：CardioVascular and Interventional Radiology
- 出版年：2017
- 出版时间：January 2017
- 年：2017
- 卷：40
- 期：1
- 页码：9-21
- 全文大小：
- 刊物类别：Medicine
- 刊物主题：Imaging / Radiology; Cardiology; Nuclear Medicine; Ultrasound;
- 出版者：Springer US
- ISSN：1432-086X
- 卷排序：40
文摘
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.