Ethanol Ablation for Cystic Thyroid Nodules 101

Ethanol Ablation for Cystic Thyroid Nodules 101

Ethanol Ablation for Cystic Thyroid Nodules 101

%c2%a6%d0%b1%c2%a6%d1%8d%c2%a6%d1%88%c2%a6%d1%8c%c2%a6%d1%8a%c2%a6%d1%880242004-300x300

005-225x300006

  1. The skin is punctured with a 16–21-gauge needle, and the target nodule is approached through the thyroid isthmus to prevent ethanol leakage during the procedure.
  2. The method of ethanol instillation depends on the solid component of the nodule.
  3.  For a cystic or predominantly cystic nodule, the tip of the needle is inserted into the center of the cyst, as much fluid as possible is aspirated, and then ethanol is injected.
  4. 004img_0996-300x225img_0826
  5. If the cyst contents are viscous, the fluid is aspirated using a large-bore needle, followed by irrigation with normal saline to remove internal debris and colloid material before ethanol instillation.
  6. The volume of ethanol injected is usually 50% of the aspirated fluid volume.
  7. img_0368
  8. After 2 minutes of ethanol retention with the needle in place, the injected ethanol is removed completely and the needle is withdrawn.
  9. If a predominantly solid nodule contains a cystic component, the latter is punctured, almost completely aspirated, and an appropriate amount of ethanol is instilled.
  10. The tip of the needle is subsequently inserted into the solid component of the target nodule, followed by infusion of an appropriate volume of ethanol.
  11. That volume is based on nodule size and echogenicity of the solid portion.
  12. In treating a purely solid nodule, ethanol is injected directly into the nodule.
  13. Adequate coverage of the target nodule, as indicated by its echogenicity (called intranodular echo-staining), is achieved by adjusting the injection of ethanol under US guidance.
  14. After injection, the needle is rapidly withdrawn.
  15. %c2%a6%d0%b1%c2%a6%d1%8d%c2%a6%d1%88%c2%a6%d1%8c%c2%a6%d1%8a%c2%a6%d1%880244
  16. Post ethanol ablation
  17. We do ethanol ablation as an out patient. If you do not want surgery,then it will pay off to do ethanol ablation without any post surgery complications.
  18.  Call dcefMatt 310-393-8860
Add Your Comment

Contact Info
1328 16th Street, Santa Monica, CA 90404
Monday – Friday
9:00 AM to 5:00 PM
(310) 393-8860