Ep. 587 Thyroid Artery Embolization: Indications & Outcomes with Dr. Juan Camacho

BackTable Vascular & Interventional

What role does thyroid artery embolization play in contemporary thyroid cancer care? Dr. Juan Camacho, an interventional radiologist from Sarasota, Florida, joins host Dr. Sabeen Dhand to discuss how this emerging technique is reshaping the management of thyroid malignancies.

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SYNPOSIS

Dr. Camacho shares his experiences establishing a multidisciplinary team at Memorial Sloan Kettering Cancer Center dedicated to the management of thyroid malignancies, highlighting the critical role of collaboration in the successful implementation of this emerging treatment. He details key procedural techniques, emphasizing the importance of recognizing anatomic variations that can influence technical success. He also examines how arterial supply and lesion location inform procedural planning and decision-making, and outlines his technical approach to thyroid artery embolization, including the use of a radial artery access, catheter selection strategies, and the application of cone-beam CT for procedural optimization. Finally, he reviews his pre- and post-procedural management strategies, including the role of beta blockers in optimizing patient outcomes.

The discussion concludes with illustrative case studies demonstrating substantial reductions in thyroid volume and symptomatic relief, notably achieved without post-procedural hypothyroidism.

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TIMESTAMPS

00:00 - Introduction
03:31 - Pioneering Thyroid Ablation at Sloan Kettering
06:53 - The Need for Thyroid Artery Embolization
25:08 - Pre-Procedural Planning
32:41 - Embolization Technique and Procedure
44:48 - Choosing the Right Catheter for the Job
45:43 - Ensuring Patient Comfort and Safety
47:09 - High-Stakes Imaging and Safety Protocols
47:55 - Innovative Techniques and Case Studies
51:02 - Post-Procedure Management and Follow-Up
56:30 - Engaging with Endocrinology and Surgeons
01:00:00 - Case Studies and Practical Applications