Autofluorescence was discovered in the United States about ten years ago and was rapidly applied clinically. At that time, we did not know that parathyroids had this characteristic of autofluorescence.
Autofluorescence is an intrinsic characteristic of parathyroid glands: they are more autofluorescent than surrounding tissues, that is to say, when we excite them with a certain wavelength (near infra-red), they fluoresce specific wavelength (without injecting any contrast agent). On the other hand, for fluorescence angiography, we do inject a fluorescent product, indocyanine green (that remains in the vessels), which also works with excitation via near-infrared wavelengths and reemission at oanother wavelength.
This intensive one-day workshop provides an opportunity to learn or further refine your skills in fluorescence imaging use in thyroid surgery. Small groups of surgeons will attend live surgeries to increase their knowledge about parathyroid glands identification by natural autofluorescence, and their vascularization assessment with indocyanine green injection. These procedures will be performed with the FLUOBEAM® LX system, which is dedicated to thyroid and parathyroid surgery.
Thanks to the FLUOBEAM® LX, we now have a "live" help during the operation without having to remove the parathyroid. Until now, if we wanted to be sure, we had to extract a small part and send it in anatomopathology to confirm whether or not it was a parathyroid. We are now able to get a reliable answer during the operation. If it is a parathyroid, we also know that we must preserve it and therefore we are more attentive. As for the angiography with indocyanine green, this technique allows us to do angiographies without ionising radiation, because until now the angiography was done with X-rays.
Live case observation, Simulation, Lectures, On-site