99mTc-MIBI radio-guided minimally invasive parathyroid surgery planned on the basis of a preoperative combined 99mTc-pertechnetate/99mTc-MIBI and ultrasound imaging protocol

2000 ◽  
Vol 27 (9) ◽  
pp. 1300-1304 ◽  
Author(s):  
Dario Casara ◽  
Domenico Rubello ◽  
Andrea Piotto ◽  
Maria Rosa Pelizzo
Keyword(s):  
Minimally Invasive ◽  
Ultrasound Imaging ◽  
Parathyroid Surgery ◽  
Imaging Protocol ◽  
99Mtc Pertechnetate ◽  
99Mtc Mibi

99mTc-MIBI Radioguided Surgery for Limited Invasive Parathyroidectomy

2000 ◽  
Vol 86 (4) ◽  
pp. 370-371 ◽  
Author(s):  
Dario Casara ◽  
Domenico Rubello ◽  
Andrea Piotto ◽  
Elena Carretto ◽  
Maria Rosa Pelizzo
Keyword(s):  
Parathyroid Carcinoma ◽  
Gamma Probe ◽  
Preoperative Imaging ◽  
Radioguided Surgery ◽  
Parathyroid Surgery ◽  
Imaging Protocol ◽  
Invasive Parathyroidectomy ◽  
Wide Variability ◽  
99Mtc Mibi ◽  
Ratio Range

We report the preliminary results obtained with the intraoperative MIBI-guided gamma probe in a group of 9 patients with primary hyperparathyroidism (pHPT). These patients were selected for limited invasive parathyroid surgery on the basis of a preoperative imaging protocol consisting of a pertechnetate & perchlorate/MIBI scan combined with neck ultrasonography (US). In the operating room 50–70 MBq MIBI was injected 30 to 45 min before parathyroidectomy. The radioactivity was measured intraoperatively at three sites: parathyroid (P), thyroid (T), and background (B). The P/B, P/T, and T/B ratios were calculated. The T/B ratio was relatively constant (range, 1.5–1.8; mean, 1.6), while a wide variability was observed both for P/T ratio (range, 1.2–2.3; mean, 1.7) and P/B ratio (range, 2.1–4.0; mean, 2.9). At surgery single enlarged parathyroid glands were easily identified by means of intraoperative MIBI-guided gamma probe. Moreover, the gamma probe allowed us to perform a limited 2–2.5 cm neck incision in eight patients affected by parathyroid adenoma. In the remaining patient a parathyroid carcinoma was diagnosed and a bilateral neck exploration was performed. The intraoperative MIBI gamma probe seems to be a useful aid when limited invasive parathyroid surgery is performed.

scholarly journals Impact of standardized computed tomographic angiography for minimally invasive mitral and tricuspid valve surgery

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Moritz B. Immohr ◽  
Yukiharu Sugimura ◽  
Patric Kröpil ◽  
Hug Aubin ◽  
Jan-Philipp Minol ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Femoral Artery ◽  
Axillary Artery ◽  
Standard Procedure ◽  
Computed Tomographic Angiography ◽  
Hospital Death ◽  
Imaging Protocol ◽  
Operative Strategy ◽  
Computed Tomographic ◽  
Standardized Imaging Protocol

Abstract Background Femoral cannulation for extracorporeal circulation (ECC) is a standard procedure for minimally invasive cardiac surgery (MICS) of the atrio-ventricular valves. Vascular pathologies may cause serious complications. Preoperative computed tomography-angiography (CT-A) of the aorta, axillary and iliac arteries was implemented at our department. Methods Between July 2017 and December 2018 all MICS were retrospectively reviewed (n = 143), and divided into 3 groups. Results In patients without CT (n = 45, 31.5%) ECC was applied via femoral arteries (91.1% right, 8.9% left). Vascular related complications (dissection, stroke, coronary and visceral ischemia, related in-hospital death) occurred in 3 patients (6.7%). In patients with non-contrast CT (n = 35, 24.5%) only femoral cannulation was applied (94.3% right) with complications in 4 patients (11.4%). CT-angiography (n = 63, 44.1%) identified 12 patients (19.0%) with vulnerable plaques, 7 patients (11.1%) with kinking of iliac vessels, 41 patients (65.1%) with multiple calcified plaques and 5 patients (7.9%) with small femoral artery diameter (d ≤ 6 mm). In 7 patients (11.1%) pathologic findings led to alternative cannulation via right axillary artery, additional 4 patients (6.3%) were cannulated via left femoral artery. Only 2 patients (3.2%) suffered from complications. Conclusions CT-A identifies vascular pathologies otherwise undetectable in routine preoperative preparation. A standardized imaging protocol may help to customize the operative strategy.

scholarly journals Erratum to: A Predictive Model of Suitability for Minimally Invasive Parathyroid Surgery in the Treatment of Primary Hyperparathyroidism

2012 ◽  
Vol 36 (5) ◽  
pp. 1174-1174
Author(s):  
Dara O. Kavanagh ◽  
Patricia Fitzpatrick ◽  
Eddie Myers ◽  
Rory Kennelly ◽  
Stephen J. Skehan ◽  
...  
Keyword(s):  
Primary Hyperparathyroidism ◽  
Minimally Invasive ◽  
Predictive Model ◽  
Parathyroid Surgery

Stretch of the Minimally Invasive Incision during Thyroid and Parathyroid Surgery

2014 ◽  
Vol 151 (4) ◽  
pp. 582-585 ◽  
Author(s):  
Nan Chen ◽  
Lauren A. Stephenson ◽  
Jeffrey B. Jorgensen ◽  
Robert P. Zitsch
Keyword(s):  
Minimally Invasive ◽  
Parathyroid Surgery

Microinvasive parathyroidectomy: Incremental improvement in minimally invasive parathyroid surgery

2017 ◽  
Vol 128 (8) ◽  
pp. 1982-1984
Author(s):  
Seth Kay ◽  
Jeremy Godsell ◽  
Luke Edelmayer ◽  
David J. Terris
Keyword(s):  
Minimally Invasive ◽  
Parathyroid Surgery ◽  
Incremental Improvement
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