caa a22 4500 477035574 CHVBK 20180405111304.0 cr unu---uuuuu 170330e19960301xx s 000 0 eng 10.1007/s002689900058 doi (NATIONALLICENCE)springer-10.1007/s002689900058 Side Localization of Parathyroid Adenomas by Simplified Intraoperative Venous Sampling for Parathyroid Hormone [Elektronische Daten] [Anders Bergenfelz, Lars Algotsson, Bengt Roth, Anders Isaksson, Sten Tibblin] Abstract. Side localization of parathyroid adenomas was performed by venous sampling for intact parathyroid hormone (PTH) in 20 consecutive patients with primary hyperparathyroidism (pHPT) after induction of anesthesia. The results were thus available during surgery. Nineteen of the patients had solitary parathyroid adenoma, and one had hyperplasia. There was no complication to the procedure. A lateralizing PTH gradient for a parathyroid adenoma was obtained in 13 patients. At surgery 12 of them (92%) were proved correct; that is, the adenoma was localized on the same side. Thus the technique correctly lateralized the adenoma in 12 of 19 patients (63%). We therefore conclude that the method of intraoperative venous sampling for intact PTH is safe, and the predictive value of a lateralizing gradient is high. It could therefore be used as an adjunct to surgical skill and noninvasive localization procedures in selected cases, for instance in patients with prior neck surgery and hypercalcemic crisis.: 1996 by the Société Internationale de Chir, ugie Bergenfelz Anders Department of Surgery, Lund University Hospital, Lund University, S-221 85 Lund, Sweden, SE aut Algotsson Lars Department of Anesthesiology, Lund University Hospital, Lund University, S-221 85 Lund, Sweden, SE aut Roth Bengt Department of Anesthesiology, Lund University Hospital, Lund University, S-221 85 Lund, Sweden, SE aut Isaksson Anders Department of Clinical Chemistry, Lund University Hospital, Lund University, S-221 85 Lund, Sweden, SE aut Tibblin Sten Department of Surgery, Lund University Hospital, Lund University, S-221 85 Lund, Sweden, SE aut https://doi.org/10.1007/s002689900058 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689900058 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bergenfelz Anders Department of Surgery, Lund University Hospital, Lund University, S-221 85 Lund, Sweden, SE aut NATIONALLICENCE 700 1- Algotsson Lars Department of Anesthesiology, Lund University Hospital, Lund University, S-221 85 Lund, Sweden, SE aut NATIONALLICENCE 700 1- Roth Bengt Department of Anesthesiology, Lund University Hospital, Lund University, S-221 85 Lund, Sweden, SE aut NATIONALLICENCE 700 1- Isaksson Anders Department of Clinical Chemistry, Lund University Hospital, Lund University, S-221 85 Lund, Sweden, SE aut NATIONALLICENCE 700 1- Tibblin Sten Department of Surgery, Lund University Hospital, Lund University, S-221 85 Lund, Sweden, SE aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer