Thyroid Artery Embolization: Indications & Outcomes

Timestamps

1. 00:00Introduction
2. 03:31Pioneering Thyroid Ablation at Sloan Kettering
3. 06:53The Need for Thyroid Artery Embolization
4. 25:08Pre-Procedural Planning
5. 32:41Embolization Technique and Procedure
6. 44:48Choosing the Right Catheter for the Job
7. 45:43Ensuring Patient Comfort and Safety
8. 47:09High-Stakes Imaging and Safety Protocols
9. 47:55Innovative Techniques and Case Studies
10. 51:02Post-Procedure Management and Follow-Up
11. 56:30Engaging with Endocrinology and Surgeons
12. 01:00:00Case Studies and Practical Applications

More about this episode

Dr. Camacho shares his experiences establishing a multidisciplinary team at Memorial Sloan Kettering Cancer Center dedicated to the management of thyroid malignancies, highlighting the critical role of collaboration in the successful implementation of thyroid artery embolization. He details key procedural techniques, emphasizing the importance of recognizing anatomic variations that can influence technical success. He also examines how arterial supply and lesion location inform procedural planning and decision-making, and outlines his technical approach to thyroid artery embolization, including the use of a radial artery access, catheter selection strategies, and the application of cone-beam CT for procedural optimization. Finally, he reviews his pre- and post-procedural management strategies, including the role of beta blockers in optimizing patient outcomes. The discussion concludes with illustrative case studies demonstrating substantial reductions in thyroid volume and symptomatic relief, notably achieved without post-procedural hypothyroidism.