THYROID AND PARATHYROID SURGERY

METHODOLOGICAL APPROACH AND OPERATING STRATEGY WITH FLUOBEAM® LX?

The detection of parathyroid glands is facilitated by the use of autofluorescence imaging. Their faster localization helps surgeons in thyroid dissection and allows better preservation of their vascularization. Identification of parathyroid glands is usually performed after thyroid medialization, which reduces the risk of inadvertent resection.

Fluobeam® lx in action

Identification of parathyroid glands

Parathyroid glands are naturally fluorescent in the near infrared. This is called autofluorescence. The use of FLUOBEAM® LX allows the surgeon to identify in real time these parathyroid glands and to preserve them as well as possible during the operation.

FLUOBEAM® LX also allows autofluorescence visualization of parathyroid adenomas. This detection guides the surgeon and facilitates their resection.

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Identification of parathyroid glands

Parathyroid glands are naturally fluorescent in the near infrared. This is called autofluorescence. The use of FLUOBEAM® LX allows the surgeon to identify in real time these parathyroid glands and to preserve them as well as possible during the operation.

FLUOBEAM® LX also allows autofluorescence visualization of parathyroid adenomas. This detection guides the surgeon and facilitates their resection.

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Identification of vessels vascularizing the parathyroid glands

By easily combining autofluorescence and perfusion visualization during the procedure, FLUOBEAM® LX allows to clearly identify the vessels that vascularize the parathyroid glands and thus to spare them during thyroid dissection.

The global information (localization and vascularization of the parathyroid glands) provided by FLUOBEAM® LX should make it possible to significantly reduce complications related to parathyroid lesions during surgery.

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Identification of vessels vascularizing the parathyroid glands

By easily combining autofluorescence and perfusion visualization during the procedure, FLUOBEAM® LX allows to clearly identify the vessels that vascularize the parathyroid glands and thus to spare them during thyroid dissection.

The global information (localization and vascularization of the parathyroid glands) provided by FLUOBEAM® LX should make it possible to significantly reduce complications related to parathyroid lesions during surgery.

UContact us Brochure (pdf)N

Checking the vascularity of the parathyroid glands

It is commonly accepted that complications such as temporary hypocalcemia are usually due to inadvertent excision of the parathyroid glands or alteration of their vascularity during thyroid surgery.

FLUOBEAM® LX, after intravenous injection of indocyanine green, allows to check the good perfusion of the parathyroid glands at the end of the procedure and thus estimate their functioning.

UContact us Brochure (pdf)N

Checking the vascularity of the parathyroid glands

It is commonly accepted that complications such as temporary hypocalcemia are usually due to inadvertent excision of the parathyroid glands or alteration of their vascularity during thyroid surgery.

FLUOBEAM® LX, after intravenous injection of indocyanine green, allows to check the good perfusion of the parathyroid glands at the end of the procedure and thus estimate their functioning.

UContact us Brochure (pdf)N

TESTIMONIALS

Dr. Fares BENMILOUD shares his experience with the FLUOBEAM® LX.

European Hospital, Marseille – France

Professor Frédéric TRIPONEZ shares his experience in fluorescence imaging

University Hospitals of Geneva – Switzerland

Dr. Fares BENMILOUD shares his experience with the FLUOBEAM® LX.

European Hospital, Marseille – France

Professor Frédéric TRIPONEZ shares his experience in fluorescence imaging

University Hospitals of Geneva – Switzerland

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PUBLICATIONS

Dip F, et al. A Randomized, Controlled Trial Comparing White-Light with Near-Infrared Autofluorescence for Parathyroid Gland Identification during Total Thyroidectomy. Journal of the American College of Surgeons. 2019 Jan 30. pii: S1072-7515(19)30081-X.

Moore EC, et al. Near-infrared imaging in re-operative parathyroid surgery: first description of autofluorescence from cryopreserved parathyroid glands. Gland Surgery 2018 Dec 11.

Kose E, et al. Heterogeneous and low-intensity parathyroid autofluorescence: Patterns suggesting hyperfunction at parathyroid exploration. Surgery. 2018 Sep 28.

Kahramangil B. et Berber E. Comparison of indocyanine green fluorescence and parathyroid autofluorescence imaging in the identification of parathyroid glands during thyroidectomy. Gland Surg. 2017 Dec6(6):644-648.

Benmiloud F. Impact of autofluorescence-based identification of parathyroids during total thyroidectomy on postoperative hypocalcemia: a before and after controlled study. Surgery 2017

Kahramangil B. and Berber E. The use of near-infrared fluorescence imaging in endocrine surgical procedures. J. Surg. Oncol. 2017

Falco J. et al. Increased identification of parathyroid glands using near infrared light during thyroid and parathyroid surgery. Surg Endosc. 2017

De Leeuw F., et al. Intraoperative Near-infrared Imaging for Parathyroid Gland Identification by Auto-fluorescence: A Feasibility Study. World Journal of Surgery – 2016 Sep;40(9):2131-8.

Falco J. et al. Cutting Edge in Thyroid Surgery: Autofluorescence of Parathyroid Glands. Journal of the American College of Surgeons. 2016 Aug; 223(2):374-80.