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Research Article

Complications of microwave ablation in patients with persistent/recurrent hyperparathyroidism after surgical or ablative treatment

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Article: 2308063 | Received 10 Oct 2023, Accepted 07 Jan 2024, Published online: 05 Feb 2024

Figures & data

Figure 1. Patient flowchart. Note: MWA: microwave ablation; PTX: parathyroidectomy; HPT: hyperparathyroidism; PHPT: primary hyperparathyroidism; SHPT: secondary hyperparathyroidism; RLN: recurrent laryngeal nerve.

Figure 1. Patient flowchart. Note: MWA: microwave ablation; PTX: parathyroidectomy; HPT: hyperparathyroidism; PHPT: primary hyperparathyroidism; SHPT: secondary hyperparathyroidism; RLN: recurrent laryngeal nerve.

Table 1. Complications and side effects in 87 HPT patients who underwent re-MWA.

Table 2. Comparison of complications between different groups.

Figure 2. Postoperative adhesion during hydrodissection. A 39-year-old patient with SHPT and a previous PTX history underwent hydrodissection using a 18G PTC needle (white arrowhead). Within the echoless isolation fluid, several cord-like hyperechoic bands (yellow arrows) were observed, pulling the SHPT lesion (white arrows) and the surrounding structures. Note: SHPT: secondary hyperparathyroidism; PTX: parathyroidectomy; CCA: common carotid artery; IJV: internal jugular vein.

Figure 2. Postoperative adhesion during hydrodissection. A 39-year-old patient with SHPT and a previous PTX history underwent hydrodissection using a 18G PTC needle (white arrowhead). Within the echoless isolation fluid, several cord-like hyperechoic bands (yellow arrows) were observed, pulling the SHPT lesion (white arrows) and the surrounding structures. Note: SHPT: secondary hyperparathyroidism; PTX: parathyroidectomy; CCA: common carotid artery; IJV: internal jugular vein.

Table 3. Comparison of relevant clinical parameters between patients with and without RLN palsy.

Table 4. The factors influencing the development of RLN palsy.

Data availability statement

Some or all datasets generated during and/or analyzed during the current study are not publicly available but are available from the corresponding author on reasonable request.