Use of fluorescent angiography with indocyanine green for prediction of hypocalcemia development after thyroidectomy
Introduction. The future of thyroid gland fast-track surgery depends largely on early hypocalcemia prediction. We describe our experience of using intraoperative indocyanine green fluorescent angiography (IGFA) of parathyroid glands to access their function in the early postoperative period.The stud...
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| Language: | Russian |
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ABV-press
2018-01-01
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| Series: | Опухоли головы и шеи |
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| Online Access: | https://ogsh.abvpress.ru/jour/article/view/305 |
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| author | V. K. Lyadov D. R. Pashaeva M. V. Nekludova |
| author_facet | V. K. Lyadov D. R. Pashaeva M. V. Nekludova |
| author_sort | V. K. Lyadov |
| collection | DOAJ |
| description | Introduction. The future of thyroid gland fast-track surgery depends largely on early hypocalcemia prediction. We describe our experience of using intraoperative indocyanine green fluorescent angiography (IGFA) of parathyroid glands to access their function in the early postoperative period.The study objective is to evaluate the possibility of prediction of early postoperative hypocalcemia after thyroidectomy using intraoperative indocyanine green fluorescent angiography.Materials and methods. Thirty five (35) patients with benign and malignant thyroid tumors eligible for thyroidectomy were included in the study. Intraoperative IGFA was performed using the SPY SP2000 (Novadaq Technologies Inc., Canada) device and visual assessment of vascularization of the parathyroid glands. The glands without fluorescence were considered ischemic. Ionized calcium test was performed 4, 8, and 18–24 hours after the surgery. Significance of the difference in its levels in patients with normal and ischemic parathyroid glands was evaluated.Results. In 26 patients, vascularization was considered sufficient, in 9 patients the glands were ischemic per the fluorescent examination.Statistically significant difference of ionized calcium levels were observed between groups with ischemic and normal glands at 18 hours after the surgery (mean 1.060 ± 0.53 in ischemic vs. 1.110 ± 0.56 in normal group, p <0.05).Conclusion. Intraoperative IGFA of the parathyroid glands can successfully predict early postoperative hypocalcemia. Further studies for accessing correlation with permanent hypocalcemia are required. |
| format | Article |
| id | doaj-art-daa968c371504713a10d99e2b924e892 |
| institution | Kabale University |
| issn | 2222-1468 2411-4634 |
| language | Russian |
| publishDate | 2018-01-01 |
| publisher | ABV-press |
| record_format | Article |
| series | Опухоли головы и шеи |
| spelling | doaj-art-daa968c371504713a10d99e2b924e8922025-08-20T04:00:19ZrusABV-pressОпухоли головы и шеи2222-14682411-46342018-01-0174242810.17650/2222-1468-2017-7-4-24-28275Use of fluorescent angiography with indocyanine green for prediction of hypocalcemia development after thyroidectomyV. K. Lyadov0D. R. Pashaeva1M. V. Nekludova2Clinical Hospital No. 1 of the Medsi Group; Russian Medical Academy of Continuous Professional Education, Ministry of Health of RussiaClinical Hospital No. 1 of the Medsi GroupTreatment and Rehabilitation Center, Ministry of Health of RussiaIntroduction. The future of thyroid gland fast-track surgery depends largely on early hypocalcemia prediction. We describe our experience of using intraoperative indocyanine green fluorescent angiography (IGFA) of parathyroid glands to access their function in the early postoperative period.The study objective is to evaluate the possibility of prediction of early postoperative hypocalcemia after thyroidectomy using intraoperative indocyanine green fluorescent angiography.Materials and methods. Thirty five (35) patients with benign and malignant thyroid tumors eligible for thyroidectomy were included in the study. Intraoperative IGFA was performed using the SPY SP2000 (Novadaq Technologies Inc., Canada) device and visual assessment of vascularization of the parathyroid glands. The glands without fluorescence were considered ischemic. Ionized calcium test was performed 4, 8, and 18–24 hours after the surgery. Significance of the difference in its levels in patients with normal and ischemic parathyroid glands was evaluated.Results. In 26 patients, vascularization was considered sufficient, in 9 patients the glands were ischemic per the fluorescent examination.Statistically significant difference of ionized calcium levels were observed between groups with ischemic and normal glands at 18 hours after the surgery (mean 1.060 ± 0.53 in ischemic vs. 1.110 ± 0.56 in normal group, p <0.05).Conclusion. Intraoperative IGFA of the parathyroid glands can successfully predict early postoperative hypocalcemia. Further studies for accessing correlation with permanent hypocalcemia are required.https://ogsh.abvpress.ru/jour/article/view/305thyroid neoplasmsthyroidectomyhypocalcemiahypoparathyroidismfluorescein angiographyindocyanine green |
| spellingShingle | V. K. Lyadov D. R. Pashaeva M. V. Nekludova Use of fluorescent angiography with indocyanine green for prediction of hypocalcemia development after thyroidectomy Опухоли головы и шеи thyroid neoplasms thyroidectomy hypocalcemia hypoparathyroidism fluorescein angiography indocyanine green |
| title | Use of fluorescent angiography with indocyanine green for prediction of hypocalcemia development after thyroidectomy |
| title_full | Use of fluorescent angiography with indocyanine green for prediction of hypocalcemia development after thyroidectomy |
| title_fullStr | Use of fluorescent angiography with indocyanine green for prediction of hypocalcemia development after thyroidectomy |
| title_full_unstemmed | Use of fluorescent angiography with indocyanine green for prediction of hypocalcemia development after thyroidectomy |
| title_short | Use of fluorescent angiography with indocyanine green for prediction of hypocalcemia development after thyroidectomy |
| title_sort | use of fluorescent angiography with indocyanine green for prediction of hypocalcemia development after thyroidectomy |
| topic | thyroid neoplasms thyroidectomy hypocalcemia hypoparathyroidism fluorescein angiography indocyanine green |
| url | https://ogsh.abvpress.ru/jour/article/view/305 |
| work_keys_str_mv | AT vklyadov useoffluorescentangiographywithindocyaninegreenforpredictionofhypocalcemiadevelopmentafterthyroidectomy AT drpashaeva useoffluorescentangiographywithindocyaninegreenforpredictionofhypocalcemiadevelopmentafterthyroidectomy AT mvnekludova useoffluorescentangiographywithindocyaninegreenforpredictionofhypocalcemiadevelopmentafterthyroidectomy |