scholarly journals Feasibility of the TOETVA as an Ambulatory Procedure

2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Fernández-Ranvier Gustavo G ◽  
Guevara Daniela ◽  
Alawwa Ghayth ◽  
Meknat Aryan ◽  
Lieberman Benjamin ◽  
...  
Keyword(s):  
2018 ◽  
Vol 33 (4) ◽  
pp. e20
Author(s):  
McRomeo Libid ◽  
Jenn Collins ◽  
Erica Feldmann ◽  
Nolan Reyes ◽  
Lori Forsythe ◽  
...  
Keyword(s):  
Phase I ◽  

1994 ◽  
Vol 56 (4) ◽  
pp. 360-368 ◽  
Author(s):  
W Gerin ◽  
M Rosofsky ◽  
C Pieper ◽  
T G Pickering

2013 ◽  
Vol 27 (11) ◽  
pp. e31-e34 ◽  
Author(s):  
Mohammed Aljawad ◽  
Eric M Yoshida ◽  
Julia Uhanova ◽  
Paul Marotta ◽  
Natasha Chandok

BACKGROUND: Percutaneous liver biopsy (PLB) is the standard procedure to obtain histological samples essential for the management of various liver diseases. While safe, many hepatologists no longer perform their own PLBs; the reasons for this practice shift are unknown.OBJECTIVE: To describe the attitudes, practice patterns and barriers to PLB among hepatologists in Canada.METHODS: A survey was distributed to all hepatologists in Canada.RESULTS: Thirty-two of 40 (80%) hepatologists completed the survey; the majority of respondents were male (72%) and had been in practice for >5 years in an academic setting. Fifty-six per cent of hepatologists referred all PLBs to radiology, and only 19% of hepatologists reported performing their own PLBs most or all of the time. There were no sex differences nor were there differences based on years in practice. Fifty per cent of respondents who performed PLB routinely used ultrasound, and PLBs are performed in equal frequency in an ambulatory procedure area (50%) versus the endoscopy suite (36%). For almost one-half of hepatologists (47%), their performance of PLBs decreased in the past five years. The majority of respondents at an academic centre (75%) reported access to FibroScan (Echosens, France), and most estimated a resultant 25% to 50% reduction in the need for PLBs. Lack of resources, patient preference and suboptimal reimbursement were the most common reasons cited for not performing PLBs.CONCLUSION: Most hepatologists in Canada do not perform PLBs to the extent that they did in the past, but refer to radiology. The reasons for this shift in practice include lack of resources, improved perception of safety and patient preference. Where available, FibroScan resulted in a perceived 25% to 50% reduction in required liver biopsies.


2005 ◽  
Vol 43 (3) ◽  
pp. 161-165 ◽  
Author(s):  
Jacques E Chelly ◽  
Bruce Ben-David ◽  
Rama M Joshi ◽  
Arie Kandel ◽  
Rita B Merman ◽  
...  

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Eric Hernandez-Triana ◽  
Oscar Mauricio Forero-Cuellar ◽  
Dimas F Herrrera-Rendon ◽  
Valentina Hernandez-Santamaria

Abstract Introduction: Radiofrequency ablation (RF) is a minimally invasive technique probed as effective and safe treatment alternative for the manage, We describe the results of efficacy and safety up to 12 months following the first thyroid nodules with ablative radiofrequency in Colombia.Objective: Evaluate the efficacy and safety of RF thyroid radiofrequency ablation for benign thyroid nodules in a protocol in our center in Bogotá Colombia, case series. Methodology: Prospective, observational and descriptive Trial Patients and procedure: From May/2017 to Nov/2019 we Treated 38 patients with 59 mainly solid nodules were treated with a Radiofrequency Ablation system with cooling 2 standard techniques (Trans-isthmic approach and moving Shut technique). Starmed system with cool type antenna of 16 G. and 10 mm active tip (3 cases) and Cosman RF cooled with 15 cm long active tips 5 to 15 mm 18 G electro Teflon. (35 cases). Here the first 59 nodules who completed a clinical and ultrasound follow-up to 12 months. Outcomes: initial volume was 15.4 +/-28 cc (0.03 a 203 cc) After radiofrequency ablation, the volume decreased significantly, in VRR%**. 40%, 55%, 62% y 68% at 1,3,6 & 12 months. final volume was 4.46 cc P= 0.000*. Compressive Symptoms drop from 5.84 to 1.19, 0.17, 1.76 at 1,3 & 6 moths p <0.001, Cosmetic Symptoms from 2.02/4 to 0.73, 0.58, 0.41 at 1,3 & 6 moths p <0.01. and Quality of Life symptoms from 0 to 10 drop from 5.6 to 2.4, 1.27 & 1.53 at 1,3 & 6 moths p<0.001. Not even one serious adverse event happened. Non-serious adverse events that did happened include minimal skin ecchymosis and transitory pain during less than 3 days, average 4/10 VAS (Visual Analog Scale). None developed hypothyroidism or required hospitalization. one patient presents transitory Horner syndrome and other nodule rupture. Two patients present a transitory dysphonia. Conclusions Radiofrequency ablation performed in our institution is effective and safe for the treatment of thyroid nodules. With patient satisfaction, improve the compressive, cosmetic symptoms and quality of life and without severe complications. It is necessary to continue to enrich this experience, because reducing volume and solving compressive and cosmetic problems, is ambulatory procedure.


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