Playing Defense From the Start: Know The Thyroid Neighborhood. Richard Guttler MD Interventional Thyroidologist Dr.Guttler’s Lecture on May 8th in Irvine California to future thyroid physicians during a workshop with cadavers and models...
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Since 2013 Dr.Guttler has Been the First US Thyroidologist to Have Experience Learning and Teaching Thyroid RF to Thyroid Physicians. In 2018 he finally began treating patients after late FDA approval. Image is of Dr.Guttler treating a patient of...
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Dr.Guttler is Speaking at the 2nd International Thyroid Minimally Invasive Therapies in Barcelona
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No Country for Aggressive Operators: Do No Harm When Treating Patients with Benign Thyroid nodule with Radiofrequency Ablation RFA. It takes years of experience to go for total ablation of large thyroid nodules. The risk of injury increases with...
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Autonomous Functioning Thyroid Nodules AFTN and Toxic Nodules: Avoid Radioiodine Therapy RAI as it has risk of increased all-cause mortality. Consider Radiofrequency ablation RFA instead. DR. Guttler’s comments: They found no increased...
More infoDR.Guttler’s comments: This is an excellent video by a surgeon on the risks of RFA for thyroid nodules. The thyroid sits surrounded by important structures including the trachea, recurrent laryngeal nerve (RLN) and vagus nerve, and common...
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Patient Reaction to the diagnosis of possible or definite thyroid cancer. Thyroid 31(4)2021 S.Pitt et al DR.Guttler’s comments: 85 patients interviewed before thyroid surgery. Many had 1 cm nodules. Initial shock anxiety, fear, and strong...
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Thyroid RFA is now approved for treatment of thyroid nodules in the USA I am doing a study with 80 patients for safety and effectiveness to be done in an endocrine office practice.Thousands of patients in Europe and Asia have had...
More infoEfficacy and Safety of Thyroid RFA for autonomous functioning thyroid nodules AFTN. Dr.Guttler’s comments: 411 AFTNs treated by thermal ablation in 391 patients in 14 studies. TSH normalization was achieved in 71.2% of...
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Nodule AFTN Treatment with radiofrequency ablation RFA vs Radioiodine therapy RAI. DR.Guttler’s comments: The RAI group had patients develop hypothyroidism needing life time thyroid hormone replacement. 5/25 patients developed clinical...
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Thyroid No Surgery or Radiation for Autonomous Functioning Thyroid Nodules AFTN: Radiofrequency Ablation should be the treatment of choice in 2021. Dr.Guttler’s Comments: Until recently the treatment for toxic or AFTN’s was surgery or...
More infoDR.Guttler’s Comments 1. This article explains the need for standby ice cold 5% dextrose during RFA treatments for thyroid nodules and cancer. 2. Aborting the treatment at the first sign of voice change and injection of dextrose can...
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