ANGIOGRAPHIC ABLATION OF MEDIASTINAL PARATHYROID ADENOMAS - LOCAL EXPERIENCE AND REVIEW OF THE LITERATURE

PURPOSE: TO evaluate local experience with a modified technique for an giographic ablation of mediastinal parathyroid adenomas. PATIENTS AND METHODS: Three patients with likely mediastinal parathyroid adenomas t hat had single feeding arteries underwent attempted arteriographic abl ation with a slow continuous infusion of contrast medium. Patients wer e closely monitored for symptoms and calcium dynamics immediately post procedure and then on a long-term outpatient basis. RESULTS: All three patients were cured (follow-up 22 to 68 months) with no long-term com plications. CONCLUSION: Percutaneous angiographic ablation with contra st medium is a reasonable alternative for patients with hyperparathyro idism due to a mediastinal adenoma who can be treated in centers with well-trained interventional radiologists.