Arteriographic exposition of the parathyroids

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Abstract
Arteriographic exposition of the parathyroids in 52 patients consecutively referred for primary hyper-parathyroidism is reported. Thirty-nine patients underwent neck exploration. In 29 patients pathologic parathyroids were found. The arteriographic evaluation was based on observation of the course of the inferior thyroid artery and the presence of parenchymal opacification. Comparison of arteriography and surgical findings revealed that selective angiography of the inferior thyroid artery had a high sensitivity and specificity in the detection of pathologic parathyroids far exceeding that of a non-selective technique.