| Selective embolization of thyroid arteries for preresection or palliative treatment of large cervicomediastinal goiters. | |
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MedLine Citation:
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PMID: 21059607 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: The authors have applied the selective embolization of thyroid arteries in the treatment of voluminous cervicomediastinal goiters, especially in patients at high surgical risk or reluctant to undergo surgical intervention and radioiodine therapy. Method: Selective arteriography was used to embolize the thyroid arteries in 2 patients with voluminous hyperfunctioning cervicomediastinal goiters and mediastinal compressive symptoms. The first patient had already undergone unsuccessful radioiodine metabolic therapy and had severe left ventricular insufficiency contraindicating surgery. The second patient, despite having no contraindications, declined surgery and radioiodine metabolic therapy. RESULTS: Radiological embolization markedly reduced the goiters in volume, resolved the compressive symptoms, and also normalized thyroid hyperfunction. The second patient needed a second embolization procedure because the embolized arterial branches had partly recanalized. CONCLUSION: 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. |
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Authors:
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Francesco Tartaglia; Filippo Maria Salvatori; Giulia Russo; Sara Blasi; Monica Sgueglia; Luciana Tromba; Alberto Berni |
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Publication Detail:
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Type: Journal Article Date: 2010-11-07 |
Journal Detail:
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Title: Surgical innovation Volume: 18 ISSN: 1553-3514 ISO Abbreviation: Surg Innov Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-03-29 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101233809 Medline TA: Surg Innov Country: United States |
Other Details:
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Languages: eng Pagination: 70-8 Citation Subset: IM |
Affiliation:
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Surgical Sciences Department, Sapienza University of Rome, Rome, Italy. francesco.tartaglia@uniroma1.it. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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