Angiographic ablation of mediastinal parathyroid adenomas: Local experience and review of the literature

purpose: To evaluate local experience with a modified technique for angiographic ablation of mediastinal parathyroid adenomas. patients and methods: Three patients with likely mediastinal parathyroid adenomas that had single feeding arteries underwent attempted arteriographic ablation with a slow continuous infusion of contrast medium. Patients were closely monitored for symptoms and calcium dynamics immediately postprocedure and then on a long-term outpatient basis. results: All three patients were cured (follow-up 22 to 68 months) with no long-term complications. conclusion: Percutaneous angiographic ablation with contrast medium is a reasonable alternative for patients with hyperparathyroidism due to a mediastinal adenoma who can be treated in centers with well-trained interventional radiologists.