A novel device in parathyroid autotransplantation for 6 patients with secondary hyperparathyroidism - Case series.

ABSTRACT:

Background

Secondary hyperparathyroidism(sHPT) is one of the most serious complications in long-term hemodialysis patients. Patients may suffer from metabolic bone diseases, severe atherosclerosis and undesirable cardiovascular events. Endoscopic parathyroidectomy with autotransplantation is a treatment option for those who do not respond to clinical management.

Methods

6 patients with secondary hyperparathyroidism were treated with endoscopic parathyroidectomy and autotransplantation. Pieces of parathyroid tissue were squeezed in our novel self-made device and injected into brachioradialis.

Results

Preoperative symptoms were alleviated, and the serum PTH and alkaline phosphatase levels, hyperphosphatemia, and hypercalcemia were improved or normalized in all 6 patient

SUBMITTER: Zhang XW 

PROVIDER: S-EPMC6170328 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature