Article
Author: Yu, Jian-Jun ; Russell, Jonathon ; Zhuo, Li ; Yu, Ming-An ; Yadav, Ajit ; Zhao, Zhen-Long ; Leong, Sum ; Kuo, Jennifer H. ; Tufano, Ralph P. ; Wei, Ying ; Qian, Lin-Xue ; Lu, Man ; Su, Hong-Hui ; Russell, Marika ; Ghazi, Hossam Arafa ; Chou, Yi-Hong ; Randolph, Gregory W. ; Xu, Shu-Hang ; He, Jun-Feng ; Fukunari, Nobuhiro ; Patel, Kaustubh ; Che, Ying ; Kandil, Emad ; Cicco, Rafael De ; Mauri, Giovanni ; Xu, Dong ; Yu, Song-Yuan ; Niu, Yun ; Zhang, Ya-Jun ; Dung, Le Thanh ; Çekiç, Bülent ; Amabile, Gerardo ; Abdelhamid, Amr H. ; Cheng, Kai-Lun ; Wu, Song-Song ; Lin, Wei-Che ; Dong, Gang ; Liang, Lei ; Wang, Shu-Rong ; Zhou, Jian-Qiao ; Janssen, Ingo ; Fan, Bo-Qiang
Treatments for secondary and tertiary hyperparathyroidism (SHPT/THPT) remain significant challenges in patients with end-stage renal disease. Thermal ablation (TA) has emerged as a minimally invasive, safe, and effective alternative to surgical resection (SR). However, technical variations and a lack of standardization have limited its widespread adoption. To address these challenges, an international expert panel developed consensus recommendations using a modified Delphi method, integrated with a systematic literature review. As a result, sixteen recommendations were formulated, addressing diagnosis, preoperative preparation, technical procedures, postoperative management, follow-up strategies, efficacy assessment, and complications associated with TA for SHPT/THPT. These recommendations aim to promote standardized treatment protocols, improve procedural safety, and provide evidence-based guidance for clinical practice and future research in ultrasound-guided TA for SHPT/THPT management.