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Fluorescence Applications in Parathyroid Surgery

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Video Atlas of Intraoperative Applications of Near Infrared Fluorescence Imaging

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Abstract

Indocyanine green (ICG) fluorescence angiography can be used to quickly and accurately localize parathyroid glands during parathyroid and thyroid surgery with minimal risk. Because the technique relies on an intact vascular pedicle, it can also be used to assess parathyroid gland perfusion, which can be used as a surrogate for postoperative parathyroid gland function. Several commercially available near-infrared imaging systems can be used for this technique, and their adoption for a wide array of indications has grown in recent years. ICG fluorescence angiography should be considered as an adjunctive method for parathyroid localization during parathyroid surgery.

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Author information

Authors and Affiliations

  1. Department of Surgery, University of California San Diego, La Jolla, CA, USA

    Jonathan C. DeLong & Michael Bouvet

Authors
  1. Jonathan C. DeLong
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  2. Michael Bouvet
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Corresponding author

Correspondence to Michael Bouvet .

Editor information

Editors and Affiliations

  1. Department of General Surgery, Digestive Disease and Surgery Institute Cleveland Clinic Foundation, Cleveland, OH, USA

    Essa M. Aleassa

  2. Division of General Surgery Division of Surgical Oncology MetroHealth System, Cleveland, OH, USA

    Kevin M. El-Hayek

Electronic Supplementary Material

The video demonstrates ICG fluorescence angiography in four different cases. The first case uses a laparoscope capable of fluorescence imaging. The second uses a different laparoscope capable of fluorescence imaging. The third uses a handheld camera device with improved ergonomics for open uses of fluorescence angiography. And the fourth case shows an example of two parathyroid glands identified in the same field (MP4 430688 kb)

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DeLong, J.C., Bouvet, M. (2020). Fluorescence Applications in Parathyroid Surgery. In: Aleassa, E., El-Hayek, K. (eds) Video Atlas of Intraoperative Applications of Near Infrared Fluorescence Imaging. Springer, Cham. https://doi.org/10.1007/978-3-030-38092-2_2

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  • DOI: https://doi.org/10.1007/978-3-030-38092-2_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-38091-5

  • Online ISBN: 978-3-030-38092-2

  • eBook Packages: MedicineMedicine (R0)

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