Radiofrequency ablation of parathyroid gland as a treatment modality for primary hyperparathyroidism – A novel bedside procedure in critically ill patients

Author:

Shivashankariah Vikram Halkurke1,Tiwari Dheeraj Kumar2,Ramamurthy Madhusudan3,Harinarayan C. V.45,Krishnamurthy Deepak6,Janardhan Raghu1

Affiliation:

1. Department of Internal Medicine, Institute of Endocrinology, Diabetes, Thyroid and Osteoporosis Disorders, Sakra World Hospitals, Bengaluru, Karnataka, India

2. Department of Interventional Radiology, Institute of Endocrinology, Diabetes, Thyroid and Osteoporosis Disorders, Sakra World Hospitals, Bengaluru, Karnataka, India

3. Department of Critical Care Medicine, Sakra World Hospitals, Institute of Endocrinology, Diabetes, Thyroid and Osteoporosis Disorders, Sakra World Hospitals, Bengaluru, Karnataka, India

4. Department of Endocrinology, Institute of Endocrinology, Diabetes, Thyroid and Osteoporosis Disorders, Sakra World Hospitals, Bengaluru, Karnataka, India

5. Department of Medicine and Endocrinology, Saveetha Institute of Medical and Technical Sciences University, Saveetha Medical College, Chennai, Tamil Nadu, India

6. Department of Cardiology, Sakra World Hospitals, Bengaluru, Karnataka, India

Abstract

Abstract Primary hyperparathyroidism caused by parathyroid adenoma is managed surgically so far. Radiofrequency ablation (RFA) of the parathyroid gland is a new modality which is gradually replacing open neck surgery. RFA is done as a bedside procedure in less than 30 min, with no scar, post-operative management, etc. In addition, it has a major advantage for patients who are not fit for anaesthesia, other comorbidities and critically ill patients. We report a case of parathyroid adenoma successfully ablated using radiofrequency in a critically ill patient with comorbidities.

Publisher

Medknow

Subject

General Medicine

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