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. 1988 Nov;208(5):639–644. doi: 10.1097/00000658-198811000-00016

Total parathyroidectomy with forearm autograft for secondary hyperparathyroidism in chronic renal failure.

H Takagi 1, Y Tominaga 1, Y Tanaka 1, K Uchida 1, A Orihara 1, N Yamada 1, M Kawai 1, S Hayashi 1, N Taira 1, T Kano 1
PMCID: PMC1493787  PMID: 3190290

Abstract

One hundred twenty-eight patients with chronic renal failure and secondary hyperparathyroidism underwent total parathyroidectomy with forearm autograft. Postoperative clinical improvement was remarkable. In all cases, the grafted tissue functioned well, and reimplantation of the cryopreserved parathyroid tissues was unnecessary. Intact 1-84 parathyroid hormone was more sensitive than C-terminal parathyroid hormone in parathyroid hormone level (PTH) gradient assays of grafted and nongrafted forearm. The study of hypocalcemia was also helpful in obtaining more distinct PTH gradients. Five of 119 patients had supernumerary parathyroid glands (4.2%), which preoperative noninvasive image diagnosis of parathyroid glands was helpful in detecting.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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