Overcoming bleeding: arterial embolization as an aid in giant thyroid goiter surgery – a case report
Adriana Lourdes Cango-Apolo, Edison John Barba Pacheco
Abstract
The usefulness of selective embolization of thyroid arteries in the treatment of voluminous goiters is reported on a 55-year-old patient with a grade 3 goiter. Selective arteriography was used to embolize the thyroid arteries. Radiological embolization reduced the volume of the goiter significantly, resolving the compressive symptoms, improving the dysphonia and respiratory mechanics, and maintaining normal thyroid function. Selective embolization of thyroid arteries before thyroid resection can successfully treat selected patients. Embolization can be repeated until the therapeutic objectives are achieved, with good management of complications.
Keywords
References
1. Causa Soteras RJ, Causa García JR, González Pérez YA. Bocio multinodular gigante. Revisión de la literatura a propósito de un caso. Rev Col Cir. 2020;35(3):483-90. http://dx.doi.org/10.30944/20117582.469.
2. Ramos HE, Braga-Basaria M, Haquin C, Mesa CO, Noronha L, Sandrini R, Carvalho GA, Graf H. Preoperative embolization of thyroid arteries in a patient with large multinodular goiter and papillary carcinoma. Thyroid. 2004;14(11):967-70. http:// dx.doi.org/10.1089/thy.2004.14.967. PMid:15671777.
3. Izquierdo OM, Serrat LMV, Cruz DB, Ramos YAM, Peña GT. Comportamiento quirúrgico de las patologías del tiroides. Rev Cuba Cir. 2020;59(1):1-17.
4. Zhao W, Gao B-L, Yang H-Y, Li H, Song D-P, Xiang S-T, Shen J. Thyroid arterial embolization to treat graves’ disease. Acta Radiol. 2007;48(2):186-92. http:// dx.doi.org/10.1080/02841850601128967. PMid:17354140.
5. González-Argüelles N, Crespo-Hidalgo M, Placer-Martínez JR, Rabanal-Llevot JM, Torres-Diez E, Gil-García A. Pre-operative embolization of thyroid arteries in a case of refractory amiodarone-induced thyrotoxicosis. Case report. Rev Colomb Anestesiol. 2019;47(3):202-5. http://dx.doi.org/10.1097/CJ9.0000000000000100.
Submitted date:
02/10/2023
Accepted date:
04/16/2023
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