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Research Letter
October 16, 2019

Intraoperative Parathyroid Hormone Measurement vs Indocyanine Green Angiography of Parathyroid Glands in Prediction of Early Postthyroidectomy Hypocalcemia

Author Affiliations
  • 1Unidad de Cirugía Endocrina, Hospital Universitari de Bellvitge, Universitat de Barcelona, Institut d’Investigació Biomèdica de Bellvitge, L’Hospitalet de Llobregat, Barcelona, Spain
JAMA Surg. 2020;155(1):84-85. doi:10.1001/jamasurg.2019.3652

The identification of predictors of postoperative hypocalcemia in thyroid surgery is a focus of interest. Perioperative measurement of parathyroid hormone (PTH) levels and angiography of the parathyroids with indocyanine green (ICG) have been explored, with different conclusions.1-5 In this study, we compared the diagnostic accuracy of intraoperative measurement of intact PTH (ioPTH) levels and parathyroid gland angiography with ICG to predict early hypocalcemia in a cohort of patients in whom at least 4 glands were identified.

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