Indocyanine green angiography in assessment of parathyroid remnant perfusion after subtotal parathyroidectomy: a case report; [Ангиография с индоцианином зеленым в оценке перфузии остатка ткани паращитовидной железы при субтотальной паратиреоидэктомии: клиническое наблюдение]

A 72-year-old female patient with chronic kidney disease stage presented with multiple parathyroid adenomas and tertiary hyperparathyroidism. SPECT/CT with 99mTc-MIBI revealed accumulation of radiopharmaceuticals in 2 out of 4 parathyroid glands. Ultrasound established localization of all parathyroid glands. Subtotal parathyroidectomy with excision of 3 glands and resection of half of the fourth gland was performed. Intraoperative indocyanine green angiography was performed to identify all parathyroid glands and remnant perfusion. There was normal parathyroid function after 6 months. © 2024 Media Sphera Publishing Group. All rights reserved.