Dr. Guttler’s comments:
- To decrease the amount of residual nodule tissue left after the first ablation there are two methods to help.
- The Artery Ablation. This is the first thing to do. The feeder artery can be ablated by inserting the tip of the electrode into the artery.The heat loss ( heat sink effect) from the artery can effect the power needed to ablate the nodule. When microbubbles occur the artery ablated. This is also a good way to reduce the chance of hemorrhage.
- The marginal vein draining the nodule also causes heat sink.
- After puncturing the vein with the electrode and ablation is begun as soon as micobubbles occur the vein is ablated.
- Now you can continue to ablate the nodule with the lowest power in watts because you have prevented the vascular heat sink effect.
Call me at 310-393-8860 or [email protected] for an evaluation for thyroid RFA.
Ask for Alicia