Thyroid Radiofrequency Ablation RFA Training in Images: Dr.Richard Guttler’s Private Thyroid Ablation Master’s Class

Thyroid Radiofrequency Ablation RFA Training in Images: Dr.Richard Guttler’s Private Thyroid Ablation Master’s Class

Thyroid Radiofrequency Ablation RFA Training in Images: Dr.Richard Guttler’s Private Thyroid Ablation Master’s Class

Thyroid Radiofrequency Ablation RFA Training in Images Dr.Richard Guttler’s Private Thyroid Ablation Master’s Class

Training methods:

Torso model to demonstrate positioning of the

patient to enter the neck through the isthmus.

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Trans-isthmus approach

moving-shot

Simulated Lidocaine injection of the thyroid gland capsule with neck torso and gelatin model before the RFA. A baloon is used to practice thyroid capsule injection.

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Actual image of the lidocaine thyroid capsule injection during an RFA procedure.

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Simulated method to move danger structures away from the target nodule.

Microdissection Method, or dextrose avoidance.

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Blue phantom model with the target nodule

with the danger structure too close on the right.

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Dextrose is used to inject between the structures as it does not conduct electricity.

The is clear separation in the next image.

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The primary nodule that responds best to Thyroid

RFA is spongiform.

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Thyroid ablation occurs at lower watts than liver.

30-60 watts.

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Dr. Guttler Demonstrating ablation technique on  a bovine live model with beef

nodules.

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2 Comments
  • Steven Hodak November 1, 2018 7:15 pm

    Hi Richard,
    I happened on to your website while exploring options for learning RF ablation of thyroid nodules. I’m an endocrinologist and ECNU certified and I do ~1000 FNAs annually. Could I get a bit more information about what you would be able to teach me?
    Best Regards,
    Steve Hodak

    • Dr Guttler November 2, 2018 11:02 am

      Steve,
      I have suspended my master’s classes for now.
      Dick

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