Selective Embolization of Thyroid Arteries for Preresection or Palliative Treatment of Large Cervicomediastinal Goiters

Tartaglia, Francesco; Salvatori, Filippo Maria; Russo, Giulia; Blasi, Sara; Sgueglia, Monica; Tromba, L; Berni, A

doi:10.1177/1553350610387616

Cited by 13 publications

(6 citation statements)

References 10 publications

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“…Like 'operative time', this variable affects the overall costs of the procedure, although this is due not so much to the method used as to the possible onset of postoperative hypocalcaemia, which can arise even as long as 48–72 h after the surgery, especially in hyperfunctioning goitres. In addition, the length of hospital stay varies according to local practices: the US authors, generally accustomed to short stays, habitually discharged their patients 24 h after TOETVA or MIVAT, whereas in the Asian and European studies hospital stays were prolonged beyond the 2 nd day, probably to monitor the levels of post-operative calcaemia;[ 40 41 42 43 44 45 46 47 48 49 50 51 52 ] this is indeed in line with our practice.…”

Section: Discussionsupporting

confidence: 68%

Minimally invasive video-assisted thyroidectomy and transoral video-assisted thyroidectomy: A comparison of two systematic reviews

Tartaglia

Giuliani²,

Sorrenti

et al. 2020

J Min Access Surg

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Background: We compared two systematic reviews, one focusing on transoral video-assisted thyroidectomy (TOVAT) and the other on minimally invasive video-assisted thyroidectomy (MIVAT), to highlight the pros and cons that can determine the choice of one or the other procedure. Materials and Methods: PubMed, Scopus and ISI Web of Science databases were searched for relevant articles published from 2000 to June 2018. Both searches were performed using the same keywords. All articles describing human surgical case series of any size were included, while the following were excluded: articles published in languages other than English, case reports, reviews, early cadaver and animal studies and old reports of cases now included in more recent works. Application of the above selection criteria yielded 151 articles on TOVAT and 246 on MIVAT. Of these, 34 articles were selected for inclusion in the present study: 17 for the TOVAT group and 17 for the MIVAT group. The comparison was made considering the most common variables used in evaluating thyroid surgery procedures. The statistical methods used were Cohen's delta, Student's t -test and the non-parametric Mann–Whitney U-test. Results: The variable 'operative time' was found to show a very large effect size, and 'hospital stay' also differed significantly between the MIVAT and TOVAT groups. Conclusions: TOVAT and MIVAT should not be considered in competition with each other, but seen simply as alternative choices. Both appear to be safe methods, comparable in terms of post-operative complications, although the main reason for using TOVAT seems to be purely aesthetic.

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Section: Discussionsupporting

confidence: 68%

Minimally invasive video-assisted thyroidectomy and transoral video-assisted thyroidectomy: A comparison of two systematic reviews

Tartaglia

Giuliani²,

Sorrenti

et al. 2020

J Min Access Surg

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“…In Graves, the incidence varies from 0.5% to 1.8% (45)(46)(47)(48)(49). The incidence of carcinomas in the cervicomediastinal goiter compared with benign thyroid cervical-mediastinum disease, is around 12.1% (50,51). The association with parathyroid diseases (52)(53)(54)(55)(56) and lymphocytic thyroiditis (57, 58) is also described.…”

Section: Discussionmentioning

confidence: 99%

Incidental thyroid carcinomas. A retrospective study

Maturo¹

2017

GCHIR

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“…We found that ipsilateral thyroid reduction was obtained in all patients, and the mean volume reduction was 50.0% ± 15.9% at the 3‐month follow‐up. The effect was not inferior to that obtained by selective embolization of thyroid arteries …”

Section: Discussionmentioning

confidence: 60%

“…The effect was not inferior to that obtained by selective embolization of thyroid arteries. 26 Compressive symptoms and cosmetic problems resolved in all patients after MWA. In this study, we intended to achieve symptom relief in patients with SSG; therefore, only patients with of associated symptoms were recruited.…”

Section: Discussionmentioning

confidence: 85%

Ultrasound‐Guided Percutaneous Microwave Ablation for Substernal Goiter: Initial Experience

Cui

Han

et al. 2019

J of Ultrasound Medicine

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Objectives To preliminarily evaluate the safety, effectiveness, and feasibility of microwave ablation (MWA) for substernal goiter (SSG) in select patients and to provide a relevant treatment reference for further studies. Methods From April 2017 to December 2017, 10 patients with SSG were treated by MWA. All patients were followed for at least 3 months to observe the therapeutic effects and complications. Therapeutic effects were assessed at follow‐up for the relief of patients’ symptoms, resolution of the cosmetic grade, and volume reduction rate (VRR) of SSG. Possibly related factors for the 3‐month VRR of the nodules were analyzed. Results The study included 9 female patients and 1 male patient with a mean age ± SD of 56.8 ± 10.1 years (range, 34–70 years). The mean volume of the nodules was 52.9 ± 27.9 mL (range, 23.7–122.6 mL). The nodule volume was significantly reduced at the 3‐month follow‐up (17.5 ± 9.5 mL; P < .05). The mean 3‐month VRR of the index nodule was 66.7% ± 7.1%. A higher ablated portion‐to‐nodule ratio 1 day after MWA predicted a higher 3‐month VRR (Spearman r = 0.646; P = .044). The mean symptom score (from 4.5 ± 1.7 to 1.5 ± 1.0; P = .005) and cosmetic grade (from 3.3 ± 0.5 to 2.2 ± 0.4; P = .004) declined significantly 3 months after the procedure. No complications or unexpected side effects were observed. Conclusions Our preliminary results support the effectiveness and safety of MWA for local control of SSG. This technology can be applied in select patients with SSG who are ineligible for surgery.

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Selective Embolization of Thyroid Arteries for Preresection or Palliative Treatment of Large Cervicomediastinal Goiters

Abstract: Selective embolization of thyroid arteries can be successfully used to treat selected patients as a preoperative procedure and as an alternative to thyroid resection. Embolization can be repeated to achieve the required therapeutic aims.

Cited by 13 publications

References 10 publications

Minimally invasive video-assisted thyroidectomy and transoral video-assisted thyroidectomy: A comparison of two systematic reviews

Minimally invasive video-assisted thyroidectomy and transoral video-assisted thyroidectomy: A comparison of two systematic reviews

Incidental thyroid carcinomas. A retrospective study

Ultrasound‐Guided Percutaneous Microwave Ablation for Substernal Goiter: Initial Experience

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