Super-selective venous sampling in conjunction with quickPTH for patients with persistent primary hyperparathyroidism: report of five cases

Gimm, Oliver; Arnesson, Lars-Gunnar; Olofsson, Patrik; Morales, Olallo; Juhlin, Claes

doi:10.1007/s00595-012-0119-7

Cited by 11 publications

(12 citation statements)

References 36 publications

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“…Some authors refer to this sampling method as "super selective," emphasizing the refinement of this modified technique compared with conventional SVS techniques. 13 It is important to note that even when a specific gradient is identified, the contralateral side is always sampled because multisite disease can be encountered. Preoperative noninvasive imaging studies are always used before remedial parathyroid surgery.…”

Section: Discussionmentioning

confidence: 99%

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Real-Time Super Selective Venous Sampling in Remedial Parathyroid Surgery

Lebastchi

Aruny

Donovan

et al. 2015

Journal of the American College of Surgeons

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Section: Discussionmentioning

confidence: 99%

“…Some authors refer to this sampling method as "super selective" venous sampling (sSVS), emphasizing the refinement of this modified technique compared with conventional SVS. 13 The current cumulative series represents the experience from 31 patients who underwent real-time sSVS at our institution.…”

mentioning

confidence: 99%

Real-Time Super Selective Venous Sampling in Remedial Parathyroid Surgery

Lebastchi

Aruny

Donovan

et al. 2015

Journal of the American College of Surgeons

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“…Primary hyperparathyroidism (pHPT) is a relatively common disease (1)(2)(3). Surgery is currently the curative treatment for pHPT, although some patients do not require surgery because they are asymptomatic (4).…”

Section: Introductionmentioning

confidence: 99%

“…Although both methods provide good detectability, some cases remain complicated by non-localizing or discordant results. Selective venous sampling (SVS) is an invasive method of localization (1). The precise localization afforded by SVS should benefit surgeons especially if non-invasive imaging is inconclusive.…”

Section: Introductionmentioning

confidence: 99%

“…The precise localization afforded by SVS should benefit surgeons especially if non-invasive imaging is inconclusive. Several studies have demonstrated the feasibility of SVS (1,(8)(9)(10)(11)(12)(13)(14)(15); however, to our knowledge, few have evaluated its ability to localize the hyperfunctioning gland in patients indicated for initial surgery.…”

Section: Introductionmentioning

confidence: 99%

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Selective venous sampling supports localization of adenoma in primary hyperparathyroidism

Ikuno

Yamada

Shinjo

et al. 2018

Acta Radiologica Open

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BackgroundSelective venous sampling (SVS) is an invasive localization study for persistent or recurrent hyperparathyroidism.PurposeTo assess the role of SVS in addition to non-invasive imaging for primary hyperparathyroidism (pHPT).Material and MethodsThis study was approved by the institutional review board and included 14 patients who underwent SVS and subsequent parathyroidectomy between January 2014 and April 2017 following a clinical diagnosis of pHPT. All patients underwent pre-SVS non-invasive imaging, including ultrasound, computed tomography (CT), and 99mTc-MIBI scintigraphy, and sensitivity was assessed using the operative and pathological findings.ResultsIn all but one case, a single parathyroid adenoma was responsible for the pHPT; the remaining case exhibited a chemical response following surgical removal of parathyroid tissue. The sensitivity (%) for ultrasound, CT, 99mTc-MIBI scintigraphy, and SVS was 76.9, 84.6, 69.2, and 76.9, respectively. SVS yielded positive results in four patients with discordant results and one patient with non-detectable results on imaging. In seven patients, a significant increase in the intact parathyroid hormone level was recognized only in the thyroid veins. The procedure time was in the range of 52–183 min (median = 89.5 min).ConclusionThe addition of SVS to a non-invasive imaging study would be helpful to locate the responsible lesion of pHPT with discordant or non-detectable results on imaging for initial surgical treatment as well.

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Selective parathyroid venous sampling in primary hyperparathyroidism: A systematic review and meta‐analysis

et al. 2018

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This is the first meta-analysis to examine the accuracy of sPVS in PHPT. sPVS had higher pooled sensitivity when compared to noninvasive modalities in revision parathyroid surgery. However, the invasiveness of this technique does not favor its routine use for preoperative localization. Super-selective venous sampling was the most accurate among all other parathyroid venous sampling techniques. Laryngoscope, 2662-2667, 2018.

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Super-selective venous sampling in conjunction with quickPTH for patients with persistent primary hyperparathyroidism: report of five cases

Cited by 11 publications

References 36 publications

Real-Time Super Selective Venous Sampling in Remedial Parathyroid Surgery

Real-Time Super Selective Venous Sampling in Remedial Parathyroid Surgery

Selective venous sampling supports localization of adenoma in primary hyperparathyroidism

Selective parathyroid venous sampling in primary hyperparathyroidism: A systematic review and meta‐analysis

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