THYROID AND PARATHYROID SURGERY

Discover FLUOBEAM® LX

METHODOLOGICAL APPROACH
AND OPERATING STRATEGY WITH FLUOBEAM® LX?

Autofluorescence imaging makes detection of parathyroid glands easier. Faster localization facilitates thyroid dissection and enables improved vascularization preservation. Parathyroid glands are usually identified after thyroid medialization, which reduces the risk of inadvertent resection.

Fluobeam® lx in action

Identification of parathyroid glands

Autofluorescence visualization of parathyroid adenomas, which guides and facilitates resection, is also enabled by FLUOBEAM® LX.

Identification of parathyroid glands

The natural fluorescence of parathyroid glands in the near infrared spectrum is called autofluorescence. FLUOBEAM® LX allows surgeons to identify these parathyroid glands in real time, which facilitates efforts to preserve the glands during the intervention.

Autofluorescence visualization of parathyroid adenomas, which guides and facilitates resection, is also enabled by FLUOBEAM® LX.

Identification of vessels vascularizing the parathyroid glands

Parathyroid glands and their vessels can be clearly identified by combining autofluorescence and perfusion visualization. This helps surgeons preserve the vessels during thyroid dissection.

The collective information, including localization and vascularization of the parathyroid glands, can make it possible to significantly reduce complications related to parathyroid lesions.

Identification of vessels vascularizing the parathyroid glands

Parathyroid glands and their vessels can be clearly identified by combining autofluorescence and perfusion visualization. This helps surgeons preserve the vessels during thyroid dissection.

The collective information, including localization and vascularization of the parathyroid glands, can make it possible to significantly reduce complications related to parathyroid lesions.

Checking the vascularity of the parathyroid glands

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

Following intravenous injection of Indocyanine Green, FLUOBEAM® LX enables surgeons to check that the parathyroid glands are sufficiently perfused at the end of the procedure. This becomes valuable input for estimating their functionality.

Checking the vascularity of the parathyroid glands

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

Following intravenous injection of Indocyanine Green, FLUOBEAM® LX enables surgeons to check that the parathyroid glands are sufficiently perfused at the end of the procedure. This becomes valuable input for estimating their functionality.

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.

FLUOBEAM® LX is intended to provide real-time near infrared (NIR) fluorescence imaging of tissue during surgical procedures. The FLUOBEAM® LX is intended to assist in the imaging of parathyroid glands and can be used as an adjunctive method to assist in the location of parathyroid glands due to the auto-fluorescence of this tissue. The FLUOBEAM® LX is indicated for use in capturing and viewing fluorescent images for the visual assessment of blood flow in adults as an adjunctive method for the evaluation of tissue perfusion. This is a class II medical device. Product manufactured by FLUOPTICS SAS, France. For proper use, please read carefully all instructions in the specific instructions for use for each product.

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