Dr.Guttler’s comments: Complications, Protocol, Follow up and Conclusions 1. Complications are not common with treatment of small thyroid cancers but do occur. 2.RFA has an excellent safety profile for small thyroid cancers and benign...
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Do You Have a Hot Thyroid Nodule also called Autonomous Functioning Nodule? New treatment with radiofrequency ablation without either radioiodine or surgery. Do You Have a Hot Thyroid Nodule also called Autonomous Functioning Nodule AFTN? New...
More infoThyroid RFA: My Road Map to Success.
Thyroid Radiofrequency RFA Road Map to Success for Your treatment of Thyroid Nodule or Cancer. Do not settle for the surgeon’s initial recommendation, but seek outside opinions. Thyroid surgery is not an emergency even for thyroid cancer...
More infoRFA for thyroid cancer:2022 Review of the current literature
Dr. Guttler’s comments: 18/179 studies were included in this review. Results: RFA appears to be a safe alternative to surgery in selected cases. It is associated with a low risk profile. Also shows promising results in patients who are...
More infoCandidate Screening for Thyroid RFA
In all the procedures I have done with RFA for nodules and cancer I was tricked into doing the procedure on 2 patients who failed to disclose they had a problem that would have resulted in problems if not known before hand. Patient failed to list...
More infoPearls for Thyroidologists about RFA for their Patients.
RFA is a game changer for your thyroid patients who want to avoid surgery, the scar and the need for lifetime thyroid medication. RFA is a new procedure that clinical and interventional thyroidologists need to learn. RFA out-competes surgery and...
More infoWhy Thyroid RFA Should be done with the patient awake.
Use of a local to the thyroid capsule is all that is needed to control pain. The capsule has sensory nerve endings.The interior of the thyroid and nodules have no sensory nerves. The patient when awake can tell the operator if they have pain, and...
More infoRFA Therapy for Small Papillary Thyroid Cancers: Alternative to Observation or Surgery.
Dr.Guttler’s comments: Read the article and see why RFA is a good alternative to active surveillance or surgery. Call me for details at 310-393-8860 or secure email at thyroid.manager@thyroid.com Ask for Alicia Dr.G. RFA example for PTMC.A...
More infoRFA for Parathyroid Adenoma: Alternative to Surgery?
Dr.Guttler’s comments. The procedure used in this case report.The parathyroid adenoma was again visualized in real time using ultrasound. 2% lidocaine was used. This was followed by hydrodissection to avoid damage to the recurrent nerve. A...
More infoMy Family Survived Hurricane Iniki In 1992
5 of my family were visiting our vacation home in Poipu Beach Kauai when we were awaken by the local police and told to leave our home as the storm surge would make a direct hit on our home. We relocated to a home in the north in Princeville. We...
More infoLeading RFA MD Physician
www.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) Thyroid...
More infoAfter the Thyroid RFA: What Can Go Wrong With Office Based Endocrine Procedure?
Dr.Guttler’s comments: Not much can go wrong but here is a summary. Unlike the hospital, my patients are watched post RFA for 30-45 minutes while they are checked for any symptoms. They can return to work but no heavy lifting or exercise...
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