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- Title
Efficacy of indocyanine green fluorescence in predicting parathyroid vascularization during thyroid surgery.
- Authors
Razavi, Alexander C.; Ibraheem, Kareem; Haddad, Antoine; Saparova, Lachin; Shalaby, Hosam; Abdelgawad, Mohamed; Kandil, Emad
- Abstract
Background: We examined the value of indocyanine green (ICG) fluorescence angiography in predicting parathyroid vascularization following thyroid and central compartment surgeries. Methods: Data were prospectively collected on adult patients undergoing thyroid and/or central compartment surgeries. Outcomes were compared in surgeries performed with and without ICG use. ICG scoring was used to quantify the vascularity of parathyroid glands. Results: One hundred eleven patients were included; 43 (38.7%) patients underwent ICG injections. There was no significant difference in mean parathyroid hormone (PTH) changes at the end of surgery (29.24 vs 23.48 pg/mL, P =.38), symptomatic hypocalcemia (7.9% vs 3.9%, P =.37), or length of stay (1.095 ± 0.22 vs 0.912 ± 0.07 days, P =.51) between surgeries performed with and without ICG. The average vascularization score among individuals undergoing ICG angiography was 2.89 out of a maximum of 8 points. Conclusion: Low‐flow ICG patterns are not associated with postoperative PTH changes or transient hypocalcemia and may lead to unnecessary parathyroid autotransplantation.
- Subjects
INDOCYANINE green; FLUORESCENCE angiography; PARATHYROID glands; FLUORESCENCE; SURGERY; THYROIDECTOMY
- Publication
Head & Neck, 2019, Vol 41, Issue 9, p3276
- ISSN
1043-3074
- Publication type
Article
- DOI
10.1002/hed.25837