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Update Course Rewind: Autofluorescence & ICG Angiography in Thyroid Surgery 2024

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Manage episode 480037388 series 1142674
Content provided by StayCurrent: Pediatric Surgery. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by StayCurrent: Pediatric Surgery or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://staging.podcastplayer.com/legal.

In this 2024 Update Course Rewind session, pediatric surgeons Dr. Justin Huntington and Dr. Ben Ham explore the emerging use of autofluorescence and ICG angiography during thyroid surgery. These imaging technologies are helping identify and assess parathyroid gland perfusion, with the goal of reducing hypocalcemia and improving long-term outcomes—especially in pediatric patients.

Classified as a Black Diamond (early adopter practice), this approach is still gaining traction in pediatric centers, but adult trials are already showing promise.

Key Highlights:

  • What is Autofluorescence? A no-injection technique that uses natural gland fluorescence to locate parathyroids during surgery.
  • ICG Angiography: Assessing real-time perfusion of glands to determine viability and reimplantation need.
  • Clinical Impact: Reduced rates of post-op hypocalcemia, improved identification of glands in surgical specimens, and more targeted decision-making.
  • Challenges in Practice: Equipment bulkiness, variable image quality, and limited adoption in lower-volume pediatric centers.

While further pediatric data are needed, this episode shows how new technologies may shape the future of thyroid surgery—especially in safeguarding parathyroid function.

  continue reading

399 episodes

Artwork
iconShare
 
Manage episode 480037388 series 1142674
Content provided by StayCurrent: Pediatric Surgery. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by StayCurrent: Pediatric Surgery or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://staging.podcastplayer.com/legal.

In this 2024 Update Course Rewind session, pediatric surgeons Dr. Justin Huntington and Dr. Ben Ham explore the emerging use of autofluorescence and ICG angiography during thyroid surgery. These imaging technologies are helping identify and assess parathyroid gland perfusion, with the goal of reducing hypocalcemia and improving long-term outcomes—especially in pediatric patients.

Classified as a Black Diamond (early adopter practice), this approach is still gaining traction in pediatric centers, but adult trials are already showing promise.

Key Highlights:

  • What is Autofluorescence? A no-injection technique that uses natural gland fluorescence to locate parathyroids during surgery.
  • ICG Angiography: Assessing real-time perfusion of glands to determine viability and reimplantation need.
  • Clinical Impact: Reduced rates of post-op hypocalcemia, improved identification of glands in surgical specimens, and more targeted decision-making.
  • Challenges in Practice: Equipment bulkiness, variable image quality, and limited adoption in lower-volume pediatric centers.

While further pediatric data are needed, this episode shows how new technologies may shape the future of thyroid surgery—especially in safeguarding parathyroid function.

  continue reading

399 episodes

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