Thyroid No Surgery 101: Ethanol Ablation PEI for Branchial Cleft Cysts.
Drainage alone will not work.
Surgery or PEI is needed.
DR.Guttler Comments on this RFA article
Most of these cases do not see an interventional thyroidologist but are sent off to surgery. If you have one consider PEI and call me at 310-393-08860 or email [email protected] for an evaluation.
1. Branchial cleft cyst is a common congenital lesion of the neck.
2.Ethanol ablation used as an alternative treatment to surgery for branchial cleft cyst.
3.22 patients who refused an operation for a second branchial cleft cyst were treated with PEI.
4. US-guided cyst aspiration was followed by injection of absolute ethanol (99%) into the lesion.
5. The injected volume of ethanol was 50%-80% of the volume of fluid aspirated.
6. The cyst volume was around 30 ml.
7. 20/20 patients were successfully treated by PEI instead of surgery.
8. No major complications occurred in any patient.
9. PEI is an effective and safe treatment for patients with branchial cleft cysts who refuse, or are ineligible for, an operation.
AJNR Am J Neuroradiol. 2017 Sep 28. doi: 10.3174/ajnr.A5373. [Epub ahead of print]
Efficacy and Safety of Ethanol
Ablation for Branchial Cleft Cysts.
Ha EJ et al
AJNR Am J Neuroradiol. 2017 Sep 28