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Intraoperative Mapping Angiography of the Parathyroid Glands: Description, Advantages, and Limits of the Technique

Introduction: This video details how to perform real-time intraoperative mapping angiograms of the parathyroid glands (iMAP). Using indocyanine green and fluorescence imaging, the aim of this technique is to enhance the observation of parathyroid vessels, which are often difficult to see with the na...

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Autor principal: Benmiloud, Fares
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mary Ann Liebert, Inc., publishers 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8227797/
https://www.ncbi.nlm.nih.gov/pubmed/34179222
http://dx.doi.org/10.1089/ve.2021.0006
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author Benmiloud, Fares
author_facet Benmiloud, Fares
author_sort Benmiloud, Fares
collection PubMed
description Introduction: This video details how to perform real-time intraoperative mapping angiograms of the parathyroid glands (iMAP). Using indocyanine green and fluorescence imaging, the aim of this technique is to enhance the observation of parathyroid vessels, which are often difficult to see with the naked eye. Materials and Methods: We describe the technique itself, show the kind of images that we can get in real time and discuss the advantages and limits of this novel technique, with several illustrating examples. Results: Either by showing directly the pedicle getting into the parathyroid or by showing the general pattern of vascular arborization, without showing precisely the pedicle of the parathyroid, the iMAP can be useful to guide the dissection in real time, and/or more generally, it can help to improve one's knowledge of vascular anatomy of the parathyroids. This technique is, however, demanding with the current devices, and technical improvements, especially on image processing, are necessary to make it more widely acceptable. Conclusions: Performing real-time iMAPs is feasible and potentially useful. Refinements may make this technique easier. The clinical utility is still to be evaluated. Fares Benmiloud has perceived consulting fees from Fluoptics, outside the present video. Runtime of video: 8 mins 3 secs
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spelling pubmed-82277972021-06-25 Intraoperative Mapping Angiography of the Parathyroid Glands: Description, Advantages, and Limits of the Technique Benmiloud, Fares VideoEndocrinology Article Introduction: This video details how to perform real-time intraoperative mapping angiograms of the parathyroid glands (iMAP). Using indocyanine green and fluorescence imaging, the aim of this technique is to enhance the observation of parathyroid vessels, which are often difficult to see with the naked eye. Materials and Methods: We describe the technique itself, show the kind of images that we can get in real time and discuss the advantages and limits of this novel technique, with several illustrating examples. Results: Either by showing directly the pedicle getting into the parathyroid or by showing the general pattern of vascular arborization, without showing precisely the pedicle of the parathyroid, the iMAP can be useful to guide the dissection in real time, and/or more generally, it can help to improve one's knowledge of vascular anatomy of the parathyroids. This technique is, however, demanding with the current devices, and technical improvements, especially on image processing, are necessary to make it more widely acceptable. Conclusions: Performing real-time iMAPs is feasible and potentially useful. Refinements may make this technique easier. The clinical utility is still to be evaluated. Fares Benmiloud has perceived consulting fees from Fluoptics, outside the present video. Runtime of video: 8 mins 3 secs Mary Ann Liebert, Inc., publishers 2021-06-10 /pmc/articles/PMC8227797/ /pubmed/34179222 http://dx.doi.org/10.1089/ve.2021.0006 Text en © Fares Benmiloud 2021; Published by Mary Ann Liebert, Inc. https://creativecommons.org/licenses/by-nc/4.0/© Fares Benmiloud 2021; Published by Mary Ann Liebert, Inc. This Open Access article is distributed under the terms of the Creative Commons Attribution Noncommercial License [CC-BY-NC] (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and the source are cited.
spellingShingle Article
Benmiloud, Fares
Intraoperative Mapping Angiography of the Parathyroid Glands: Description, Advantages, and Limits of the Technique
title Intraoperative Mapping Angiography of the Parathyroid Glands: Description, Advantages, and Limits of the Technique
title_full Intraoperative Mapping Angiography of the Parathyroid Glands: Description, Advantages, and Limits of the Technique
title_fullStr Intraoperative Mapping Angiography of the Parathyroid Glands: Description, Advantages, and Limits of the Technique
title_full_unstemmed Intraoperative Mapping Angiography of the Parathyroid Glands: Description, Advantages, and Limits of the Technique
title_short Intraoperative Mapping Angiography of the Parathyroid Glands: Description, Advantages, and Limits of the Technique
title_sort intraoperative mapping angiography of the parathyroid glands: description, advantages, and limits of the technique
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8227797/
https://www.ncbi.nlm.nih.gov/pubmed/34179222
http://dx.doi.org/10.1089/ve.2021.0006
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