scholarly journals The pattern of the descent of PTH measured by intraoperative monitoring of intact-PTH in surgery for renal hyperparathyroidism

2008 ◽  
Vol 70 (2) ◽  
pp. 62-67 ◽  
Author(s):  
Miguel Echenique-Elizondo ◽  
Francisco Javier Díaz-Aguirregoitia ◽  
José Antonio Amondarain ◽  
Fernando Vidaur
Keyword(s):  
Intraoperative Monitoring ◽  
Renal Hyperparathyroidism ◽  
Intact Pth

Intraoperative Monitoring of Intact PTH in Surgery for Renal Hyperparathyroidism as an Indicator of Complete Parathyroid Removal

2005 ◽  
Vol 29 (11) ◽  
pp. 1504-1509 ◽  
Author(s):  
Miguel Echenique Elizondo ◽  
Francisco Javier Díaz-Aguirregoitia ◽  
José Antonio Amondarain ◽  
Fernando Vidaur
Keyword(s):  
Intraoperative Monitoring ◽  
Renal Hyperparathyroidism ◽  
Intact Pth

scholarly journals Intact parathyroid hormone levels localize causative glands in persistent or recurrent renal hyperparathyroidism: A retrospective cohort study

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0248366
Author(s):  
Takahisa Hiramitsu ◽  
Toshihide Tomosugi ◽  
Manabu Okada ◽  
Kenta Futamura ◽  
Norihiko Goto ◽  
...  
Keyword(s):  
Parathyroid Hormone ◽  
Area Under The Curve ◽  
Parathyroid Glands ◽  
Total Parathyroidectomy ◽  
Renal Hyperparathyroidism ◽  
Intact Pth ◽  
Receiver Operating Characteristic Curves ◽  
Detailed Imaging ◽  
Forearm Autograft ◽  
Pth Level

Persistent or recurrent renal hyperparathyroidism may occur after total parathyroidectomy and transcervical thymectomy with forearm autograft under continuous stimulation due to uremia. Parathyroid hormone (PTH) levels may reflect persistent or recurrent renal hyperparathyroidism because of the enlarged autografted parathyroid glands in the forearm or remnant parathyroid glands in the neck or mediastinum. Detailed imaging requires predictive localization of causative parathyroid glands. Casanova and simplified Casanova tests may be convenient. However, these methods require avascularization of the autografted forearm for >10 min with a tourniquet or Esmarch. The heavy pressure during avascularization can be incredibly painful and result in nerve damage. An easier method that minimizes the burden on patients in addition to predicting the localization of causative parathyroid glands was developed in this study. Ninety patients who underwent successful re-parathyroidectomy for persistent or recurrent renal hyperparathyroidism after parathyroidectomy between January 2000 and July 2019 were classified according to the localization of causative parathyroid glands (63 and 27 patients in the autografted forearm and the neck or mediastinum groups, respectively). Preoperatively, intact PTH levels were measured from bilateral forearm blood samples following a 5-min avascularization of the autografted forearm. Cutoff values of the intact PTH ratio (intact PTH level obtained from the non-autografted forearm before re-parathyroidectomy/intact PTH level obtained from the autografted forearm before re-parathyroidectomy) were investigated with receiver operating characteristic curves to localize the causative parathyroid glands. Intact PTH ratios of <0.310 with an area under the curve (AUC) of 0.913 (95% confidence interval [CI]: 0.856–0.970; P < 0.001) and >0.859 with an AUC 0.744 (95% CI: 0.587–0.901; P = 0.013) could predict causative parathyroid glands in the autografted forearm and the neck or mediastinum with diagnostic accuracies of 81.1% and 83.3%, respectively. Therefore, we propose that the intact PTH ratio is useful for predicting the localization of causative parathyroid glands for re-parathyroidectomy.

scholarly journals Intraoperative Monitoring of Parathormone in the Surgical Treatment of Renal Hyperparathyroidism

Chirurgia ◽  
2020 ◽  
Vol 115 (2) ◽  
pp. 246
Author(s):  
Costin Pasnicu ◽  
Petru Radu ◽  
Mircea Brătucu ◽  
Iustinian Bengulescu ◽  
Vlad Paic ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Intraoperative Monitoring ◽  
Renal Hyperparathyroidism

Primary hyperparathyroidism: Biochemical features and intraoperative monitoring of intact pth during surgery.

1996 ◽  
Vol 50 (8) ◽  
pp. 406
Author(s):  
M. Tommasi ◽  
A. Brocchi ◽  
A. Benucci ◽  
M.L. De Feo ◽  
F. Locchi
Keyword(s):  
Primary Hyperparathyroidism ◽  
Intraoperative Monitoring ◽  
Intact Pth ◽  
Biochemical Features

Watch for the 2013 SIG Coordinating Committee Elections

ASHA Leader ◽  
2013 ◽  
Vol 18 (5) ◽  
pp. 56-56
Keyword(s):  
Hearing Loss ◽  
Intraoperative Monitoring ◽  
Research Career ◽  
Loss Prevention ◽  
Clinical Specialty ◽  
Specialty Program

Access Audiology Highlights Hearing Loss Prevention, Watch for the 2013 SIG Coordinating Committee Elections, ASHA CE Courses Offer Transparency, Did You Know?, Students: Save on ASHA Membership, Certification to Replace Recognition in Clinical Specialty Program, Specialty Recognition in Neurophysiological Intraoperative Monitoring, Academic Accreditation Group Seeks Applicants, ASHA Awards Grants to State Associations, Use Pathways to Launch Your Research Career, Board of Ethics Decisions

BulletinBOARD

ASHA Leader ◽  
2013 ◽  
Vol 18 (5) ◽  
pp. 61-61
Keyword(s):  
Hearing Loss ◽  
Intraoperative Monitoring ◽  
Research Career ◽  
Loss Prevention ◽  
Clinical Specialty ◽  
Specialty Program

Access Audiology Highlights Hearing Loss Prevention, Watch for the 2013 SIG Coordinating Committee Elections, ASHA CE Courses Offer Transparency, Did You Know?, Students: Save on ASHA Membership, Certification to Replace Recognition in Clinical Specialty Program, Specialty Recognition in Neurophysiological Intraoperative Monitoring, Academic Accreditation Group Seeks Applicants, ASHA Awards Grants to State Associations, Use Pathways to Launch Your Research Career, Board of Ethics Decisions

Specialty Recognition in Neurophysiological Intraoperative Monitoring

ASHA Leader ◽  
2013 ◽  
Vol 18 (5) ◽  
pp. 57-57
Keyword(s):  
Hearing Loss ◽  
Intraoperative Monitoring ◽  
Research Career ◽  
Loss Prevention ◽  
Clinical Specialty ◽  
Specialty Program

Access Audiology Highlights Hearing Loss Prevention, Watch for the 2013 SIG Coordinating Committee Elections, ASHA CE Courses Offer Transparency, Did You Know?, Students: Save on ASHA Membership, Certification to Replace Recognition in Clinical Specialty Program, Specialty Recognition in Neurophysiological Intraoperative Monitoring, Academic Accreditation Group Seeks Applicants, ASHA Awards Grants to State Associations, Use Pathways to Launch Your Research Career, Board of Ethics Decisions

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