Thyroid RFA 2017 Update and Final Words on Thyroid RFA by Dr.Guttler

Thyroid RFA 2017 Update and Final Words on Thyroid RFA by Dr.Guttler

Thyroid RFA 2017 Update and Final Words on Thyroid RFA by Dr.Guttler

Final Words on Thyroid RFA by Dr.Guttler

Main weaknesses is in using RFA on the thyroid gland include the lack of definitive histology, possibility of incomplete nodule ablation, and surveillance problems for the residual thyroid mass after RFA.

However, RFA is an an effective nonsurgical option to improve pressure and toxic symptoms in benign thyroid nodules.  Volume reduction, pressure symptoms, and cosmetic symptoms, can be improved and  appear last long term. Therefore, proper selection of patient with benign nodule for RFA and subsequent monitoring were needed.

New developments in Thyroid RFA

tracker

Needletracker system for teaching Thyroid RFA.

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1/2 hot tip for close danger objects

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Ablation of sinking arterioles before the Thyroid RFA.

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Bipolar electrode for pregnant and pacemaker patients.

No grounding pads.

Microdissection method (Dextrose avoidance) when the target nodule is too close to a dangerous structure

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Thanks to Dr. JH Baek at Asan MC Seoul Korea for his input and images.

and Dr. Kai-Pun Wong and Brian Hung -Lin Lang  of Queen Mary Hospital Hong Kong for their review article

https://www.hindawi.com/journals/ije/2013/428363/

 

Richard Guttler MD,FACE,ECNU

Clinical Professor of Medicine Keck/USC school of Medicine

Director, Santa Monica Thyroid Center, Santa Monica Ca 90404

Member, American Association of Clinical Endocrinologist’s task force on the introduction of thyroid radiofrequency ablation RFA of thyroid nodules to the United States.

dr.guttler@thyroid.com

www.thyroid.com

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