DR. Guttler’s Comments: 1. A Pioneer in Minimally Invasive Surgery. 2. He is 101 years old and still has passion for his work. Arises early to walk go to the gym then spends 3 days a week at Cedars and the rest of the week he works form...
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Dr.Guttler’s comments:1. For symptomatic nonfunctioning Parathyroid Cysts, simple aspiration could be a first line procedure for diagnosis and treatment, while EA can be a subsequent treatment modality for recurrent cases. 2. 20 years...
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1. Thyroid Nodules: Pure cyst or > 50 fluid use ethanol ablation PEI. Solid mixed cyst >50% use Radiofrequency ablation RFA. 2. Solid Thyroid Nodules: Toxic or Autonomous Functioning Nodule with Low TSH and High T4: Treat with RFA instead...
More info Dr.Guttler’s comments: 1. For symptomatic nonfunctioning PCs, simple aspiration could be a first line procedure for diagnosis and treatment, while EA can be a subsequent treatment modality for recurrent cases. 2. Call me at 310-393-8860 or...
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Dr.Guttler’s comments: 1. There is a debate on the use of “low dose” ethanol vs standard dosing. 2. Considering the very low complication rate of EA, even when a dose of more than 5 mL is used, the advantage of low-dose EA is...
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Thyroid Ablation with Ethanol and Radiofrequency Ablation. Don’t be fooled by ads and websites by hospitals, universities, radiologists, surgeons who are new to Treating thyroid patients with thyroid radiofrequency or ethanol ablation treatment...
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Benign thyroid nodules class 11 are good candidates for Ablation. However, Class III will need more studies to be sure you don’t have a nodule with potential for thyroid cancer. A suspicious needle biopsy alone can lead to unnecessary...
More infoDr.Guttler’s comments The PEI, forgotten first choice treatment for cysts has been around since the 1990s and is still not done in many places even when it is the treatment of choice. This Korean study should wake up the physicians seeing...
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If there is <10% solid component ethanol ablation is the treatment of choice. 10-50% solid component a combination of PEI and RFA is the preferred therapy. >50% solid thyroid RFA is the preferred therapy. PEI 10% solid nodules 85-95 volume...
More infowww.rfamd.com THYROID CENTER OF SANTA MONICA Dr.Richard Guttler 1328 16 th st. Santa Monica, CA 90404 USA (310) 393.8860 thyroid.manager@thyroid.com Clinical and Interventional Thyroidologist Clinical Thyroidologist (1974 – present) ...
More infoAlternative to surgery? Xinyang Li, et al Endocrine Practice Article July 23 2021. DR.Guttler’s comments: 25 patients who were treated with RFA for pHPT in this report. 21/25 had normal PTH at 6 months. Minor complications of neck pain and...
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