scholarly journals Efficacy of percutaneous ethanol injection therapy (PEIT) is related to the number of parathyroid glands in haemodialysis patients with secondary hyperparathyroidism

2006 ◽  
Vol 22 (2) ◽  
pp. 522-528 ◽  
Author(s):  
F. Koiwa ◽  
T. Kakuta ◽  
R. Tanaka ◽  
S. Yumita
Keyword(s):  
Secondary Hyperparathyroidism ◽  
Percutaneous Ethanol Injection ◽  
Parathyroid Glands ◽  
Injection Therapy ◽  
Ethanol Injection ◽  
Percutaneous Ethanol Injection Therapy ◽  
Ethanol Injection Therapy

scholarly journals Use of Percutaneous Ethanol Injection Therapy for Recurrent Secondary Hyperparathyroidism after Subtotal Parathyroidectomy

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Walter G. Douthat ◽  
Gabriela Cardozo ◽  
Gabriela Garay ◽  
Santiago Orozco ◽  
Carlos Chiurchiu ◽  
...  
Keyword(s):  
Secondary Hyperparathyroidism ◽  
Therapeutic Option ◽  
Percutaneous Ethanol Injection ◽  
Injection Therapy ◽  
Subtotal Parathyroidectomy ◽  
Ethanol Injection ◽  
Percutaneous Ethanol Injection Therapy ◽  
Calcium Phosphorus ◽  
Ethanol Injection Therapy ◽  
Esrd Patients

We evaluated the efficacy of percutaneous ethanol injection therapy (PEIT) as a therapeutic option for recurrence of secondary hyperparathyroidism after subtotal parathyroidectomy in ESRD patients. Six patients underwent PEIT. A mean of 1.3 ± 0.8 ethanol injections was performed. Nodular volume was 1.5 ± 1.7 cm3, and 2.8 ± 2.8 cm3of ethanol was injected per patient. After ethanol injection PTH decreased significantly (1897 ± 754 to 549 ± 863 pg/mL (P<.01)). There was also a reduction in serum calcium, phosphorus and calcium-phosphorus product. A positive and significant correlation was found between nodular volume with ethanol injected and time from parathyroidectomy. Only one patient required hospitalization due to severe hypocalcaemia. In other two cases, local discomfort and temporary mild dysphonia were registered. PEIT is an effective treatment to control recurrences of secondary hyperparathyroidism postsubtotal parathyroidectomy.

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