First experience of applying domestic video fluorescent equipment for visualization and blood flow evaluation of the parathyroid glands

In recent years, predictive methods for assessing the preservation of the parathyroid glands have been actively implemented. The article describes the first experience of evaluating the blood supply of the parathyroid glands by quantitative determination of the indocyanine green (ICG) accumulation index in real time in 6 patients before and after a thyroidectomy with central neck lymph node dissection for papillary thyroid cancer. Intraoperative fluorescent angiography was performed by using domestic equipment with a fluorescent module, as well as by using a domestic medication of ICG. Intraoperative values of the ICG accumulation index were compared with the levels of ionized calcium and parathyroid hormone perioperatively. No clinical manifestations of hypocalcemia were detected in the postoperative period. The obtained results showed the informativeness of the numerical assessment of the intensity of ICG fluorescence. The evaluation of the distribution (accumulation) of ICG has prospects for practical application in thyroid surgery in the formation of tactics for preserving the parathyroid glands and predicting postoperative hypoparathyreosis.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Khirurgiia - (2024), 1 vom: 23., Seite 71-78

Sprache:

Russisch

Weiterer Titel:

Pervyi opyt primeneniya otechestvennoi videoflyuorestsentnoi ustanovki dlya vizualizatsii i otsenki krovotoka okoloshchitovidnykh zhelez

Beteiligte Personen:

Saliba, M B [VerfasserIn]
Zhivova, V A [VerfasserIn]
Vetshev, F P [VerfasserIn]
Gabaidze, D I [VerfasserIn]
Efendiev, K T [VerfasserIn]
Udeneev, A M [VerfasserIn]
Pavlova, E A [VerfasserIn]
Shiryaev, A A [VerfasserIn]

Links:

Volltext

Themen:

Coloring Agents
English Abstract
Fluorescent equipment
IX6J1063HV
Indocyanine Green
Indocyanine green
Journal Article
Near-infrared range
Parathyroid gland
Postoperative hypoparathyroidism
Thyroidectomy
Video fluorescence visualization

Anmerkungen:

Date Completed 24.01.2024

Date Revised 24.01.2024

published: Print

Citation Status MEDLINE

doi:

10.17116/hirurgia202401171

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367491826