Détail du document
Identifiant
doi:10.1007/s40477-024-00926-4...
Auteur
Rossi, Mattia Meomartino, Letizia Pagano, Loredana Follini, Giulia Garberoglio, Sara Maccario, Mauro Rossetto Giaccherino, Ruth Garberoglio, RobertoLangue
enEditeur
Springer
Catégorie
Medicine & Public Health
Année
2024
Date de référencement
26/06/2024
Mots clés
adjustable-tip needle benign thyroid nodule radiofrequency ablation minimally-invasive thyroid treatme... thyroid benign approach considered difference rate absolute success terms reduction = 0Résumé
Purpose In this retrospective, observational study we aim to compare the outcomes of the RFA treatment of benign thyroid nodules, carried out respectively with the standard fixed-needle approach (FTN) and the adjustable-tip needle technique (ATN), considered a more tailored, quicker and easier technical approach.
Methods We enrolled 36 patients who underwent RFA treatment of symptomatic, benign, thyroid nodule, 18 with the ATN and 18 with the FTN approach, respectively.
Data about absolute volume reduction, volume reduction rate (VRR) and success rate (defined as VRR ≥ 50%), after 1, 3 and 6 months of follow-up were compared.
Results Our study suggested no substantial difference between the approaches, up to 6 months of follow-up, both in terms of absolute reduction ( p = 0.27) and VRR ( p = 0.14).
These results were confirmed when the success rates, both in terms of 50%-reduction ( p = 0.12) and absolute reduction ( p = 0.42), was considered.
Only at the 6-month evaluation, the FTN procedure showed a better success rate, yet without statistical significance (88.9% vs. 61.1%, p = 0.12).
No difference emerged both in terms of patients’ satisfaction and safety.
Conclusion Our small experience suggested no substantial difference between ATN and FTN, in terms of outcomes.
On the other hand, ATN was considered to be more straightforward and could consequently allow for a shorter operator learning curve.
Rossi, Mattia,Meomartino, Letizia,Pagano, Loredana,Follini, Giulia,Garberoglio, Sara,Maccario, Mauro,Rossetto Giaccherino, Ruth,Garberoglio, Roberto, 2024, Adjustable-tip needles versus fixed-tip needles in radiofrequency ablation of symptomatic benign thyroid nodules: a single-center Italian experience, Springer
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