Format

Send to

Choose Destination
See comment in PubMed Commons below
AJNR Am J Neuroradiol. 2014 Mar;35(3):582-6. doi: 10.3174/ajnr.A3701. Epub 2013 Aug 22.

Combination therapy consisting of ethanol and radiofrequency ablation for predominantly cystic thyroid nodules.

Author information

1
From the Departments of Radiology and Research Institute of Radiology (H.M.Y., J.H.B., J.H.L., E.J.H.).

Abstract

SUMMARY:

Predominantly cystic thyroid nodules are often aspirated before radiofrequency ablation to enhance its efficacy; however internal bleeding during the aspiration is a problem. We evaluated the feasibility and safety of ethanol ablation to control internal bleeding that occurred during preparatory aspiration. Between September 2010 and August 2011, 11 of 40 predominantly cystic nodules bled internally during fluid aspiration before radiofrequency ablation. To control the bleeding, 99% ethanol was injected. The efficacy of ethanol in controlling bleeding, final nodule volume and complications were assessed. Control of the bleeding by ethanol ablation and subsequent radiofrequency ablation was feasible in all patients. Ninety-one percent (10/11) could be treated in 1 session. The mean nodule volume dropped from 17.1 to 4.3 mL (P < .018). There were no major complications. Ethanol ablation and radiofrequency ablation combination therapy is a feasible and safe technique for treating predominantly cystic thyroid nodules that exhibit internal bleeding during preparatory aspiration.

PMID:
23969340
DOI:
10.3174/ajnr.A3701
[Indexed for MEDLINE]
Free full text
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire
    Loading ...
    Support Center