Overview
Radiofrequency ablation (RFA) parathyroidectomy is a minimally invasive technique used to treat overactive parathyroid glands in patients with hyperparathyroidism. This procedure uses radiofrequency energy to heat and destroy the overactive gland, offering an alternative to traditional surgical removal. It is not a standard procedure because of important structures that live next to the parathyroid gland, but it can be used in unusual cases.
Procedure
During RFA parathyroidectomy, a thin needle electrode is inserted into the overactive parathyroid gland under ultrasound guidance. Radiofrequency energy is delivered through the electrode, generating heat that destroys the glandular tissue. The procedure is typically performed under local anesthesia and on an outpatient basis, allowing patients to return home the same day.
Benefits and Risks
RFA parathyroidectomy offers several benefits, including a minimally invasive approach, reduced recovery time, and minimal scarring. It is an effective option for patients who prefer a less invasive treatment compared to traditional surgery. Potential risks include infection, bleeding, and unintended damage to surrounding structures. Your doctor will discuss these risks with you to ensure you are fully informed before the procedure.
The most important surrounding structure is the recurrent laryngeal nerve, which is usually very close to parathyroid glands. An additional risk is that, without removal of the parathyroid gland, recurrence rates tend to be higher than when compared to parathyroid surgery with a very experienced surgeon such as Dr Jon Russell.
It should be noted that traditional parathyroid surgery can be performed in minutes and usually without general anesthesia (at least at highly skilled locations such as the Russell Center). For that reason, surgery is generally the accepted standard of care for patients with parathyroid problems. Even though RFA of parathyroid problems is very promising, it should be used only with great caution and by the most experienced RFA providers.
Recovery and Follow-Up
Recovery from RFA parathyroidectomy is generally quick, with most patients resuming normal activities within a few days. Mild discomfort at the treatment site is common and can be managed with over-the-counter pain medications. Follow-up visits are important to monitor calcium levels and ensure the procedure's success. Additional treatments, including surgery, may be needed if hyperparathyroidism persists.
.webp)
