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Asian consensus statement of experts on thermal ablation for secondary hyperparathyroidism in chronic kidney disease

作者:Huihui Chai, Wenwen Yue, Liping Sun, Ling Zhang, Ji‐hoon Kim, Wei‐Che Lin, Jie Yu, Ming-An Yu, Ningning Wang, Hong Wang, Shurong Wang, Ying Che, Qiang Lu, Jie Ren, Fangyi Liu, Yang Liu, Erjiao Xu, Xu Hui, Min Xu, Jinge Zhu, Litao Ruan, Xinping Sun, Desheng Sun, Xiao‐Long Li, Changbin Li, Meng Yang, Songsong Wu, Fei Yu, Song-Yuan Yu, Yongwu Yu, Yifeng Zhang, Chun Ouyang, Bo Zhang, Xiaoliang Zhang, Lina Zhang, Jun Luo, Zhengbiao Ji, Jianqiao Zhou, Li Zhou, Yumin Zheng, Lin Fang, Qiyu Zhao, Binghui Zhao, Xinju Zhao, Pengcheng Hu, Shengxiang Rao, Hong Jiang, Qingqing He, Linxue Qian, Dong Xu, Junyue Huang, Hongli Cui, Tianan Jiang, Hong Han, Zhijiang Han, Jingning Cheng, Youben Fan, Jung Hwan Baek, Ping Liang, Huixiong Xu, Chengzhong Peng · 发表于:International Journal of Surgery · 年份:2025 · DOI:10.1097/js9.0000000000002510 · 被引用次数:6 · 研究领域:Parathyroid Disorders and Treatments、Thyroid and Parathyroid Surgery、Genetic Syndromes and Imprinting

Secondary hyperparathyroidism (SHPT) is characterized by parathyroid hyperplasia, persistently elevated parathyroid hormone levels, and disturbances in mineral metabolism. Currently, a considerable amount of literature has consistently shown that thermal ablation is effective in maintaining parathyroid hormone levels within an appropriate range, normalizing calcium and phosphorus levels, improving clinical symptoms, and reducing the volume of parathyroid glands. However, there are currently no established guidelines regarding its utilization. The Asian consensus statement of experts on thermal ablation for SHPT in chronic kidney disease was jointly initiated by experts from China and Korea in the fields of nephrology, interventional ultrasound or radiology, thyroid surgery, ultrasound medicine, nuclear medicine, and diagnostic radiology-to formulate recommendations aimed at establishing standardized protocols for thermal ablation targeting the parathyroid glands. Based on the systematic review of literatures related to ultrasound-guided thermal ablation of parathyroid glands and the professional opinions of experts, the consensus statement covers the relevant content regarding thermal ablation treatment for SHPT, including indications, contraindications, pre-ablation evaluation, operational procedures, post-ablation follow-up, therapeutic effect evaluation, complications prevention and treatment. According to the Grading of Recommendations Assessment, Development and Evaluati...