Indocyanine Green Angiography in Subtotal Parathyroidectomy: Technique for the Function of the Parathyroid Remnant Jordi Vidal Fortuny, MD, Samira M.

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Indocyanine Green Angiography in Subtotal Parathyroidectomy: Technique for the Function of the Parathyroid Remnant Jordi Vidal Fortuny, MD, Samira M. Sadowski, MD, Valentina Belfontali, MD, Wolfram Karenovics, MD, Sebastien Guigard, MD, Frederic Triponez, MD Journal of the American College of Surgeons Volume 223, Issue 5, Pages e43-e49 (November 2016) DOI: 10.1016/j.jamcollsurg.2016.08.540 Copyright © 2016 The Authors Terms and Conditions

Figure 1 Design of the study. HPT, hyperparathyroidism; ICG, indocyanine green; MEN, multiple endocrine neoplasia; Ptx, parathyroidectomy. Journal of the American College of Surgeons 2016 223, e43-e49DOI: (10.1016/j.jamcollsurg.2016.08.540) Copyright © 2016 The Authors Terms and Conditions

Figure 2 Virtual parathyroid gland reduction with applied clips, showing good perfusion of the remnant between clips during indocyanine green angiography, as seen in red-orange on the color scale. Journal of the American College of Surgeons 2016 223, e43-e49DOI: (10.1016/j.jamcollsurg.2016.08.540) Copyright © 2016 The Authors Terms and Conditions

Figure 3 Indocyanine green angiography of (a) a nonperfused, (b) a moderately perfused, and (c) a well perfused parathyroid remnant. a, b, c: Normal views. Circles indicate parathyroid gland. a’, b’, c’: Black and white near infra-red views. Arrows indicate remnant. a”, b”, c”: combined normal and near infra-red views. Journal of the American College of Surgeons 2016 223, e43-e49DOI: (10.1016/j.jamcollsurg.2016.08.540) Copyright © 2016 The Authors Terms and Conditions