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Thyroid artery embolization of large solitary symptomatic benign thyroid nodules through transradial approach

This study investigated the efficacy and safety of transradial access (TRA) thyroid artery embolization (TAE) for patients with large solitary symptomatic benign thyroid nodules. Six patients with a total of six nodules (three men and three women; mean age, 36.3 years; age range, 23–45 years) underw...

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Autores principales: Cheng, Kai-Lun, Liang, Keng-Wei, Lee, Hsiang-Lin, Wang, Hui-Yu, Shen, Chao-Yu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10423340/
https://www.ncbi.nlm.nih.gov/pubmed/37581037
http://dx.doi.org/10.21037/qims-22-1385
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author Cheng, Kai-Lun
Liang, Keng-Wei
Lee, Hsiang-Lin
Wang, Hui-Yu
Shen, Chao-Yu
author_facet Cheng, Kai-Lun
Liang, Keng-Wei
Lee, Hsiang-Lin
Wang, Hui-Yu
Shen, Chao-Yu
author_sort Cheng, Kai-Lun
collection PubMed
description This study investigated the efficacy and safety of transradial access (TRA) thyroid artery embolization (TAE) for patients with large solitary symptomatic benign thyroid nodules. Six patients with a total of six nodules (three men and three women; mean age, 36.3 years; age range, 23–45 years) underwent TRA TAE between October 2021 and June 2022 and were subsequently followed up three months later, and their cases were retrospectively reviewed. The associated complications were recorded during and after TRA TAE. The volume change and nodule-related symptom score on a 10-cm visual analogue scale (VAS) between baseline, 1- and 3-month follow-up was analyzed using Wilcoxon signed-rank test. The technical success rate of the TRA TAE was 100% without conversion to transfemoral access. The mean volume of the nodules decreased between baseline (84.1 mL; range, 46.1–170.5 mL), 1-month (38.8 mL; range, 17.6–91.5 mL; P=0.028) and 3-month (14.8 mL; range, 3.95–26.4 mL; P=0.068) at follow-up after TRA TAE. The mean volume reduction rate was 54.9% (range, 45.2–71.8%) at 1-month follow-up and 81.8% (range, 62.0–92.0%) at 3-month follow-up. The VAS score was reduced at 1-month (P=0.028) and at 3-month follow up (P=0.068). Radial artery spasm (n=1) was noted during TRA TAE, and neck pain (n=5) and voice change (n=1) occurred within 1 week after the procedure and resolved with conservative treatment. No major complications were reported. TRA TAE may be a promising alternative therapy for the management of large solitary thyroid nodules.
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spelling pubmed-104233402023-08-14 Thyroid artery embolization of large solitary symptomatic benign thyroid nodules through transradial approach Cheng, Kai-Lun Liang, Keng-Wei Lee, Hsiang-Lin Wang, Hui-Yu Shen, Chao-Yu Quant Imaging Med Surg Brief Report This study investigated the efficacy and safety of transradial access (TRA) thyroid artery embolization (TAE) for patients with large solitary symptomatic benign thyroid nodules. Six patients with a total of six nodules (three men and three women; mean age, 36.3 years; age range, 23–45 years) underwent TRA TAE between October 2021 and June 2022 and were subsequently followed up three months later, and their cases were retrospectively reviewed. The associated complications were recorded during and after TRA TAE. The volume change and nodule-related symptom score on a 10-cm visual analogue scale (VAS) between baseline, 1- and 3-month follow-up was analyzed using Wilcoxon signed-rank test. The technical success rate of the TRA TAE was 100% without conversion to transfemoral access. The mean volume of the nodules decreased between baseline (84.1 mL; range, 46.1–170.5 mL), 1-month (38.8 mL; range, 17.6–91.5 mL; P=0.028) and 3-month (14.8 mL; range, 3.95–26.4 mL; P=0.068) at follow-up after TRA TAE. The mean volume reduction rate was 54.9% (range, 45.2–71.8%) at 1-month follow-up and 81.8% (range, 62.0–92.0%) at 3-month follow-up. The VAS score was reduced at 1-month (P=0.028) and at 3-month follow up (P=0.068). Radial artery spasm (n=1) was noted during TRA TAE, and neck pain (n=5) and voice change (n=1) occurred within 1 week after the procedure and resolved with conservative treatment. No major complications were reported. TRA TAE may be a promising alternative therapy for the management of large solitary thyroid nodules. AME Publishing Company 2023-05-30 2023-08-01 /pmc/articles/PMC10423340/ /pubmed/37581037 http://dx.doi.org/10.21037/qims-22-1385 Text en 2023 Quantitative Imaging in Medicine and Surgery. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Brief Report
Cheng, Kai-Lun
Liang, Keng-Wei
Lee, Hsiang-Lin
Wang, Hui-Yu
Shen, Chao-Yu
Thyroid artery embolization of large solitary symptomatic benign thyroid nodules through transradial approach
title Thyroid artery embolization of large solitary symptomatic benign thyroid nodules through transradial approach
title_full Thyroid artery embolization of large solitary symptomatic benign thyroid nodules through transradial approach
title_fullStr Thyroid artery embolization of large solitary symptomatic benign thyroid nodules through transradial approach
title_full_unstemmed Thyroid artery embolization of large solitary symptomatic benign thyroid nodules through transradial approach
title_short Thyroid artery embolization of large solitary symptomatic benign thyroid nodules through transradial approach
title_sort thyroid artery embolization of large solitary symptomatic benign thyroid nodules through transradial approach
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10423340/
https://www.ncbi.nlm.nih.gov/pubmed/37581037
http://dx.doi.org/10.21037/qims-22-1385
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