The iceberg technique: an innovative approach for radiofrequency ablation of diving thyroid nodules
Diving thyroid nodules are a limitation of radiofrequency ablation because the mediastinal component cannot be adequately identified by ultrasound (US). We aim to describe a new technique, the iceberg technique, to overcome this issue and explain our three-year experience of using this novel method....
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Publishing House
2023-07-01
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| Series: | Diagnostic and Interventional Radiology |
| Subjects: | |
| Online Access: |
http://www.dirjournal.org/archives/archive-detail/article-preview/the-iceberg-technique-an-innovative-approach-for-r/57687
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| _version_ | 1797691436746932224 |
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| author | Antônio Rahal Junior Erivelto Martinho Volpi Bruno Pagnin Schmid Priscila Mina Falsarella Rodrigo Gobbo Garcia |
| author_facet | Antônio Rahal Junior Erivelto Martinho Volpi Bruno Pagnin Schmid Priscila Mina Falsarella Rodrigo Gobbo Garcia |
| author_sort | Antônio Rahal Junior |
| collection | DOAJ |
| description | Diving thyroid nodules are a limitation of radiofrequency ablation because the mediastinal component cannot be adequately identified by ultrasound (US). We aim to describe a new technique, the iceberg technique, to overcome this issue and explain our three-year experience of using this novel method. The iceberg technique consists of a two-stage treatment. First, the ablation of the cervical portion of the nodules (easily visualized during the initial US exam) using trans-isthmic access is performed using the moving-shot technique. After three to six months, there is a volumetric reduction of the treated portion, leading to retraction of the thyroid parenchyma. This brings the mediastinal component to the cervical region, thereby enabling a perfect visualization by US. Then, the second stage of treatment is carried out with complete nodule ablation, and the region that was treated first is looked at a second time. From April 2018 to April 2021, nine patients with nine benign nodules were submitted for the iceberg technique. No complications occurred during the entire follow-up period. The patients displayed normal hormonal levels after the procedures, and there was a significant volume reduction of the nodules until three months post-ablation. The iceberg technique is an effective and safe option for the radiofrequency treatment of diving goiters. |
| first_indexed | 2024-03-12T02:13:16Z |
| format | Article |
| id | doaj.art-9045fa9153084e468b1c4497a88e639c |
| institution | Directory Open Access Journal |
| issn | 1305-3825 1305-3612 |
| language | English |
| last_indexed | 2024-03-12T02:13:16Z |
| publishDate | 2023-07-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Diagnostic and Interventional Radiology |
| spelling | doaj.art-9045fa9153084e468b1c4497a88e639c2023-09-06T11:44:50ZengGalenos Publishing HouseDiagnostic and Interventional Radiology1305-38251305-36122023-07-0129462863110.4274/dir.2022.22146713049054The iceberg technique: an innovative approach for radiofrequency ablation of diving thyroid nodulesAntônio Rahal Junior0Erivelto Martinho Volpi1Bruno Pagnin Schmid2Priscila Mina Falsarella3Rodrigo Gobbo Garcia4 Department of Interventional Radiology, Hospital Israelita Albert Einstein, Sao Paulo, Brazil Department of Head and Neck Surgery, Hospital Alemão Oswaldo Cruz, Sao Paulo, Brazil Department of Interventional Radiology, Hospital Israelita Albert Einstein, Sao Paulo, Brazil Department of Interventional Radiology, Hospital Israelita Albert Einstein, Sao Paulo, Brazil Department of Interventional Radiology, Hospital Israelita Albert Einstein, Sao Paulo, Brazil Diving thyroid nodules are a limitation of radiofrequency ablation because the mediastinal component cannot be adequately identified by ultrasound (US). We aim to describe a new technique, the iceberg technique, to overcome this issue and explain our three-year experience of using this novel method. The iceberg technique consists of a two-stage treatment. First, the ablation of the cervical portion of the nodules (easily visualized during the initial US exam) using trans-isthmic access is performed using the moving-shot technique. After three to six months, there is a volumetric reduction of the treated portion, leading to retraction of the thyroid parenchyma. This brings the mediastinal component to the cervical region, thereby enabling a perfect visualization by US. Then, the second stage of treatment is carried out with complete nodule ablation, and the region that was treated first is looked at a second time. From April 2018 to April 2021, nine patients with nine benign nodules were submitted for the iceberg technique. No complications occurred during the entire follow-up period. The patients displayed normal hormonal levels after the procedures, and there was a significant volume reduction of the nodules until three months post-ablation. The iceberg technique is an effective and safe option for the radiofrequency treatment of diving goiters. http://www.dirjournal.org/archives/archive-detail/article-preview/the-iceberg-technique-an-innovative-approach-for-r/57687 ablationgoiterinterventionalnodulethyroid |
| spellingShingle | Antônio Rahal Junior Erivelto Martinho Volpi Bruno Pagnin Schmid Priscila Mina Falsarella Rodrigo Gobbo Garcia The iceberg technique: an innovative approach for radiofrequency ablation of diving thyroid nodules Diagnostic and Interventional Radiology ablation goiter interventional nodule thyroid |
| title | The iceberg technique: an innovative approach for radiofrequency ablation of diving thyroid nodules |
| title_full | The iceberg technique: an innovative approach for radiofrequency ablation of diving thyroid nodules |
| title_fullStr | The iceberg technique: an innovative approach for radiofrequency ablation of diving thyroid nodules |
| title_full_unstemmed | The iceberg technique: an innovative approach for radiofrequency ablation of diving thyroid nodules |
| title_short | The iceberg technique: an innovative approach for radiofrequency ablation of diving thyroid nodules |
| title_sort | iceberg technique an innovative approach for radiofrequency ablation of diving thyroid nodules |
| topic | ablation goiter interventional nodule thyroid |
| url |
http://www.dirjournal.org/archives/archive-detail/article-preview/the-iceberg-technique-an-innovative-approach-for-r/57687
|
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