Autofluorescence vs Clinical Assessment of Parathyroid Glands During Thyroid Surgery

  • STATUS
    Recruiting
  • End date
    Jul 2, 2023
  • participants needed
    400
  • sponsor
    Region Skane
Updated on 2 April 2021

Summary

The purpose of the investigation is to study if the use of Fluobeam-LX to identify parathyroid glands through autofluorescence during thyroid surgery, may reduce the risk of postoperative hypoparathyroidism, defined as low PTH in patients undergoing total thyroidectomy

Description

Temporary and permanent hypoparathyroidism is probably the most important complication of total thyroidectomy. The rate of permanent hypoparathyroidism in quality registries are in the range of is 5-7 percent of patients undergoing surgery.

Patients operated on benign disease with total thyroidectomy, and who suffer from permanent hypoparathyroidism (defined as medication with active Vitamin D analogue therapy for more than 6 months, are at increased risk of renal insufficiency. They also have, for unclear reasons, an increased risk of suffering from malignancy, compared to patients without this complication. Patients with known ischemic heart disease before surgery also have an increased risk of suffering a new episode of cardiovascular disease. Finally, patients with permanent hypoparathyroidism have an increased risk of mortality compared to patients without this complication.

If, by using a technique for autofluorescence (Fluobeam -LX), one can more accurately identify and avoid damage to the parathyroid glands during the surgical procedure, this would be of great importance for patients undergoing total thyroidectomy for thyroid disease.

Patients undergoing total thyroidectomy are randomized to the use of Fluobeam -LX to detect the parathyroid glands through autofluorescence during thyroid surgery, or clinical evaluation only (control). Outcome is evaluated by parathyroid hormon (PTH) levels the first postoperative day and the need for medication with calcium and Vitamin D up to 6 months postoperatively.

Details
Condition Hypoparathyroidism Postprocedural
Treatment Fluobeam® LX
Clinical Study IdentifierNCT04509011
SponsorRegion Skane
Last Modified on2 April 2021

Eligibility

Yes No Not Sure

Inclusion Criteria

Patients with thyroid disease planned for total thyroidectomy regardless of
diagnosis

Exclusion Criteria

Previous thyroid surgery
Previous parathyroid surgery
Concurrent parathyroid surgery
Renal insufficiency
Pregnancy
Breast feeding
Allergy (contrast agent, iodine)
Inability to understand study information
Patient unable to participate in planned follow-up program
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