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ELEVISION™ IR HEAD & NECK PLATFORM


HAVE YOU EVER SEEN
THE AUTOFLUORESCENCE OF A PARATHYROID GLAND?

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did you know?

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TEMPORARY HYPOCALCEMIA
is the most common complication of total Thyroidectomy1-9

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72%
Of patients reported
suffering from more
than 10 Symptoms10

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1
Of the major reasons for delaying hospital discharge11-14

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20%
Inadvertent parathyroidect-omy is reported to occur in up to 20% of patients undergoing thyroid surgeries9, 14-17

INADVERTENT PARATHYROIDECTOMY
CHALLENGES IN NECK ENDOCRINE SURGERY

  • Temporary hypocalcemia is one of the most common complications in thyroid surgery1-9

  • Inadvertent parathyroidectomy is reported to occur in up to the 20% of patients undergoing thyroid surgery and is a risk factor for developing hypocalcemia and/ or hypoparathyroidism as a physiologic consequence9, 14-17

  • Due to their anatomical characteristics, parathyroid glands identification is sometimes difficult even for experienced surgeons18-20

  • Parathyroid damage and unintentional parathyroid resection could be avoided by improved intraoperative identification1
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Learn more about parathyroid glands preservation challenges in neck endocrine surgery

pdf Hypocalcemia Report (.pdf)

Elevision™ IR H&N value summary

1.8MB

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GET A DIFFERENT POINT OF VIEW

The EleVision™ IR Head&Neck Platform offers a complete solution enabling surgeons to perform routine white light surgery and fluorescence imaging to help in parathyroid gland localization and to assess perfusion.21-25
EleVision IR Head&Neck provides information invisible to the naked eyes.
The EleVision™ IR Head&Neck platform:

  • Uses an innovative laser technology to help in the localization of parathyroid glands thanks to their autofluorescence
  • Provide information about parathyroid glands vascularization when used in conjunction with ndocyanine green (icg)
  • Combines high definition visualization with real-time infrared fluorescence> and visible light imaging

ir platform

PARATHYROID GLANDS LOCALIZATION

With EleVision™ IR Head&Neck

with elevision

Without EleVision™ IR Head&Neck

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PARATHYROID GLANDS VASCULARIZATION

With EleVision™ IR Head&Neck

with elevision

Without EleVision™ IR Head&Neck

without elevision

learn more about the EleVision™ IR platform

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what is EleVision™ IR head&neck?

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WHAT YOU NEED TO KNOW ABOUT ELEVISION™ IR HEAD&NECK

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"I TESTED THE ELEVISION™ HEAD & NECK SOLUTION FOR YOU"

why EleVision™ IR HEAD&NECK?

Watch Dr. Dana Hartl discuss the use of fluorescence technology during thyroid and parathyroid procedures.

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THE HEAD & NECK GLOBAL SOLUTION

To learn
more about our HEAD AND 
NECK SOLUTIONS

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References

1

Benmiloud F, Rebaudet S, Varoquaux A, Penaranda G, Bannier M, Denizot A: Impact of autofluorescence-based identification of parathyroids during total thyroidectomy on ostoperative hypocalcemia: a before and after controlled study Surg (United States) 163: 23–30, 2018

2

Sanabria A, Kowalski LP, Tartaglia F: Inferior thyroid artery ligation increases hypocalcemia after thyroidectomy: A meta-analysis Laryngoscope 128: 534–541, 2018

3

Abboud B, Sargi Z, Akkam M, Sleilaty F: Risk factors for postthyroidectomy hypocalcemia J Am Coll Surg 195: 456–461, 2002

4

Almquist M, Hallgrimsson P, Nordenström E, Bergenfelz A: Prediction of permanent hypoparathyroidism after total thyroidectomy World J Surg 38: 2613–2620, 2015

5

Bhattacharyya N, Fried MP: Assessment of the morbidity and complications of total thyroidectomy. Arch Otolaryngol Head Neck Surg 128: 389–392, 2002

6

Grainger J, Ahmed M, Gama R, Liew L, Buch H, Cullen RJ: Postthyroidectomy hypocalcemia: Impact on length of stay Ear, Nose Throat J 94: 276–281, 2015

7

Zaidi N, Bucak E, Yazici P, et al.: The feasibility of indocyanine green fluorescence imaging for identifying and assessing the perfusion of parathyroid glands during total thyroidectomy J Surg Oncol 113: 775– 778, 2016

8

Falco J, Dip F, Quadri P, de la Fuente M, Prunello M, Rosenthal RJ: Increased identification of parathyroid glands using near infrared light during thyroid and parathyroid surgery Surg Endosc 31: 3737–3742, 2017

9

Sheahan P, Orl-hns F, Mehanna R, Basheeth N, Murphy MS: Is Systematic Identification of All Four Parathyroid Glands Necessary During Total Thyroidectomy ?: A Prospective Study Laryngoscope 123: 2324–2328, 2013

10

Hadker N, Egan J, Sanders J, Lagast H, Clarke BL: Understanding the burden of illness associated with hypoparathyroidism reported among patients in the paradox study Endocr Pract 20: 671–679, 2014

11

Lang B.H., Che-Lok Chow F.: Evaluating the Incidence, Cause, and Risk Factors for Unplanned 30-Day Readmission and Emergency Department/ General Practitioner Visit After Short-Stay Thyroidectomy. World J Surg Feb;40(2):329-36, 2016

12

Maxwell A.K., Shonka D.C., et al.: Association of Preoperative Calcium and Calcitriol Therapy With Postoperative Hypocalcemia After Total Thyroidectomy. JAMA Otolaryngol Head Neck Surg. Jul; 143(7): 679–684, 2017

13

Duval M et al.: Is severe hypocalcemia immediately life-threatening?Endocr Connect. Aug 31;7(10):1067-74, 2018

14

Khairy GA, Al-Saif A: Incidental parathyroidectomy during thyroid resection: Incidence, risk factors, and outcome Ann Saudi Med 31: 274– 278, 2011

15

Applewhite MK, White MG, Xiong M, et al.: Incidence, Risk Factors, and Clinical Outcomes of Incidental Parathyroidectomy During Thyroid Surgery Ann Surg Oncol 23: 4310–4315, 2016

16

Lin YS, Hsueh C, Wu HY, Yu MC, Chao TC: Incidental parathyroidectomy during thyroidectomy increases the risk of postoperative hypocalcemia Laryngoscope 127: 2194–2200, 2017

17

Christakis I., Zacharopoulou P., et al. Inadvertent parathyroidectomy risk factors in 1,373 thyroidectomies—male gender and presence of lymphadenopathy, but not size of gland, independently increase the risk. Gland Surgery, Vol 6, No 6 December 2017

18

Al-Qurayshi Z, Robins R, Hauch A, Randolph GW, Kandil E: Association of surgeon volume with outcomes and cost savings following thyroidectomy a national forecast JAMA Otolaryngol - Head Neck Surg 142: 32–39, 2016

19

Gschwandtner E, Seemann R, Bures C, Preldzic L, Szucsik E, Hermann M: How many parathyroid glands can be identified during thyroidectomy?: Evidence-based data for medical experts Eur Surg - Acta Chir Austriaca 50: 14–21, 2018

20

Alraddadi T, Aldhahri S, Almayouf M, et al.: Risk Factors of Incidental Parathyroidecomy in Thyroid Surgery Cureus 11, 2019

21

Bigdeli AK, Gazyakan E, Schmidt VJ, et al.: Indocyanine Green Fluorescence for Free-Flap Perfusion Imaging Revisited: Advanced Decision Making by Virtual Perfusion Reality in Visionsense Fusion Imaging Angiography Surg Innov 23: 249–260, 2015

22

Benmiloud F, Godiris-Petit G, Gras R, et al. Association of Autofluorescence-Based Detection of the Parathyroid Glands During Total Thyroidectomy With Postoperative Hypocalcemia Risk: Results of the PARAFLUO Multicenter Randomized Clinical Trial. 2020

23

Bos Jvd, Al-Taher M, Schols RM, Kuijk Sv, Bouvy ND, Stassen LPS. Near-Infrared Fluorescence Imaging for Real-Time Intraoperative Guidance in Anastomotic Colorectal Surgery: A Systematic Review of Literature. Journal of laparoendoscopic & advanced surgical techniques Part A.;28(2):157, 2018»

24

Daele EV, Nieuwenhove YV, Ceelen W, et al. Near-infrared fluorescence guided esophageal reconstructive surgery: A systematic review. World journal of gastrointestinal oncology. 11(3):250, 2019

25

Abbaci M, Leeuw FD, Breuskin I, et al. Parathyroid gland management using optical technologies during thyroidectomy or parathyroidectomy: A systematic review. Oral oncology. 87:186, 2018

See the device manual for detailed information regarding the instructions for use, indications, contraindications, warnings, precautions, and potential adverse events. For further information, contact your local Medtronic representative and/or consult the Medtronic website at medtronic.eu
EleVision™ IR Head & Neck system, also named Visionsense VS3 Iridium including IR Fluorescence Vision System, is CE Mark by VisionSense, a Medtronic Company.