<abstract xmlns="http://www.w3.org/1999/xhtml">

Percutaneous ethanol ablation (PEA) is an alternative non-surgical method for the treatment of patients with primary hyperparathyroidism (PHPT), suitable in cases with comorbidities and high surgical risk.
The <bold>aim</bold> of the present study was to evaluate the results of PEA in patients with PHPT at the early stages of follow-up.
<bold>Materials and methods:</bold> The study included 35 patients (30 women and 5 men, mean age 59.7 ± 12.4 years) with biochemical and hormonal data of PHPT and localized parathyroid adenoma (PTA) by ultrasound, nuclear scan, FNB with cytology and evaluation of PTH in the needle washout. All patients were at high surgical risk or refused surgical treatment. PEA was applied and changes in the PTA volume and calcium-phosphate metabolism were monitored at the third (M3) and sixth (M6) months after the procedure.
<bold>Results:</bold> Normocalcaemia was achieved in 26 patients (74.3%) at M3 and persisted at M6 in 22 of them. A second course of PEA was administered in 11 patients with persistent hypercalcaemia at M3 and M6, respectively. Compared to the baseline, the mean PTA volume decreased significantly by 53% at M3 and 67% at M6 (p &lt; 0.001). Side effects including local pain, edema and dysphonia were observed in 5 patients (14.3%).
<bold>Conclusion:</bold> PEA is an efficient and safe treatment modality for the management of PHPT. A significant reduction in PTA volume and a normalization of serum calcium and PTH levels were observed at the early stages of follow-up.
</abstract>

Percutaneous ethanol ablation (PEA) is an alternative non-surgical method for the treatment of patients with primary hyperparathyroidism (PHPT), suitable in cases with comorbidities and high surgical risk.
The aim of the present study was to evaluate the results of PEA in patients with PHPT at the early stages of follow-up.
Materials and methods: The study included 35 patients (30 women and 5 men, mean age 59.7 ± 12.4 years) with biochemical and hormonal data of PHPT and localized parathyroid adenoma (PTA) by ultrasound, nuclear scan, FNB with cytology and evaluation of PTH in the needle washout. All patients were at high surgical risk or refused surgical treatment. PEA was applied and changes in the PTA volume and calcium-phosphate metabolism were monitored at the third (M3) and sixth (M6) months after the procedure.
Results: Normocalcaemia was achieved in 26 patients (74.3%) at M3 and persisted at M6 in 22 of them. A second course of PEA was administered in 11 patients with persistent hypercalcaemia at M3 and M6, respectively. Compared to the baseline, the mean PTA volume decreased significantly by 53% at M3 and 67% at M6 (p < 0.001). Side effects including local pain, edema and dysphonia were observed in 5 patients (14.3%).
Conclusion: PEA is an efficient and safe treatment modality for the management of PHPT. A significant reduction in PTA volume and a normalization of serum calcium and PTH levels were observed at the early stages of follow-up.

Evaluation of the Early Results of Percutaneous Ethanol Ablation in Patients with Primary Hyperparathyroidism

Department of Thyroid and Metabolic Bone Diseases

University Hospital of Endocrinology “Acad. Ivan Penchev”, Department of Endocrinology, Medical University – Sofia

Acta Medica Bulgarica

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Percutaneous ethanol ablation (PEA) is an alternative non-surgical method for the treatment of patients with primary hyperparathyroidism (PHPT), suitable in...

Evaluation of the Early Results of Percutaneous Ethanol Ablation in Patients with Primary Hyperparathyroidism

Published Online: Apr 22, 2022

Page range: 5 - 11

Received: Jan 01, 2022

Accepted: Jan 06, 2022

DOI: https://doi.org/10.2478/amb-2022-0001

Keywords
percutaneous ethanol ablation, primary hyperparathyroidism, parathyroid adenoma, hypercalcemia

© 2022 I. Yankova et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Evaluation of the Early Results of Percutaneous Ethanol Ablation in Patients with Primary Hyperparathyroidism

Published Online: Apr 22, 2022

Page range: 5 - 11

Received: Jan 01, 2022

Accepted: Jan 06, 2022

DOI: https://doi.org/10.2478/amb-2022-0001

Keywordspercutaneous ethanol ablation, primary hyperparathyroidism, parathyroid adenoma, hypercalcemia

© 2022 I. Yankova et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Keywords
percutaneous ethanol ablation, primary hyperparathyroidism, parathyroid adenoma, hypercalcemia