BackTable / VI / Podcast / Episode #415

Thyroid Ablation: Efficacy, Safety, and Procedure Overview

with Dr. Gary Tse

In this episode of the BackTable Podcast, host Dr. Chris Beck interviews guest Dr. Gary Tse about the innovative technique of thyroid ablation and its role in treating benign thyroid nodules. Dr. Tse is a practicing interventional radiologist at UCLA Health.

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Podcast Contributors

Dr. Gary Tse

Dr. Gary Tse is an interventional radiologist and assistant professor at UCLA Health in California.

Dr. Christopher Beck

Dr. Chris Beck is a practicing interventional radiologist with Regional Radiology Group in New Orleans.

Synopsis

Dr. Tse highlights the procedural details, patient experiences, potential complications, and follow-up protocols of thyroid ablation. He emphasizes the importance of consistent communication with patients during these procedures, given that the patients are under minimal anesthesia. He explains how interventional radiologists can benefit from embracing this procedure due to their expertise in ultrasound usage, as it leads to reduction in recovery times and complications for patients. Dr. Tse also briefly discusses the future potential of thyroid embolization for larger goiters. He encourages other IR specialists to consider adopting this procedure, which he believes should become a standard of care.

Timestamps

00:00 - Introduction
04:03 - Dr. Tse’s Career Journey and Transition to Academics
06:32 - Discussion on Thyroid Interventions
09:15 - Building Referral Patterns for Thyroid Interventions
11:50 - Thyroid Ablation Procedure Overview
21:23 - Post-Ablation Outcomes and Goals
25:52 - Avoiding Complications
32:55 - Post-Procedure Follow-Up
36:14 - Exploring Thyroid Embolization
42:23 - Final Thoughts and Future Prospects

Resources

2017 Thyroid Radiofrequency Ablation Guideline: Korean Society of Thyroid Radiology:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6005940/
Recurrent Laryngeal Nerve Injury in Thermal Ablation of Thyroid Nodules-Risk Factors and Cause Analysis:
https://pubmed.ncbi.nlm.nih.gov/35311971/

Effectiveness of Injecting Cold 5% Dextrose into Patients with Nerve Damage Symptoms during Thyroid Radiofrequency Ablation:
https://doi.org/10.3803/EnM.2020.35.2.407

Revisiting Rupture of Benign Thyroid Nodules after Radiofrequency Ablation: Various Types and Imaging Features:
https://doi.org/10.3803/EnM.2019.34.4.415

Thyroid arterial embolization to treat Graves' disease:
https://pubmed.ncbi.nlm.nih.gov/17354140/

Thyroid Embolization for Nonsurgical Treatment of Nodular Goiter: A Single-Center Experience in 56 Consecutive Patients:
https://www.jvir.org/article/S1051-0443(21)01212-4/fulltext#%20

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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