Efficacy of indocyanine green fluorescence in predicting parathyroid vascularization during thyroid surgery
Head & Neck Jun 21, 2019
Razavi AC, et al. - In anticipating parathyroid vascularization following thyroid and central compartment surgeries, researchers studied the importance of indocyanine green (ICG) fluorescence angiography. Participants in the study were 111 patients. For adult patients undergoing thyroid and/or central compartment surgeries, data were prospectively gathered. To quantify the vascularity of parathyroid glands, ICG scoring was used. No significant difference was found in mean parathyroid hormone (PTH) changes at the end of surgery, symptomatic hypocalcemia, or length of stay between surgeries performed with and without ICG. Data reported that the average vascularization score among people undergoing ICG angiography was 2.89 out of a maximum of 8 points. According to findings, low-flow ICG patterns were not linked to postoperative PTH changes or transient hypocalcemia and can lead to unnecessary parathyroid autotransplantation.
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