Endocrine Abstracts

Background: Minimally invasive surgery in short time has been widely used in many fields of medicine and endocrinology not an exception. Having a number of advantages, such as small traumatic intervention, as well as cosmetic effect.

Materials and methods: Selective embolization thyroid artery (SETA), we used as an independent method of treatment Graves’ disease (GD). Following this procedure the treatment of 17 patients received for the period from 2012 to 2013 years. Indications for SETA were: GD with severe concomitant diseases. Complicated forms of GD with decompensation. If the patient’s categorical refusal from traditional operations for cosmetic reasons. Among the 17 patients had 2 (14.3%) men and 15 (85.7%) of women aged 22–56 years.

Results: Serious complications after SETA were noted in six patients had severe pain on the front of the neck, parotid region, lower jaw, headaches, which were stopped analgesics, pain duration of 3–4 days. In three cases after embolization were thyroiditis, manifests itself intoxication syndrome, which was cupping antibacterial therapy. In the study of the hormonal status on the 5th day a marked increase in the level of hormones. When monitoring the Doppler ultrasound scan of the thyroid gland 7th day revealed the absence of blood flow in the gland, and thyroid volume reduction of 30–35%. On the 7th day after the REE held needle aspiration biopsy of thyroid. At the same time identified changes, such as acute infarct and necrosis glandular epithelium and interstitium fibrosis gland tissue. On the 30th day after embolization, downward trend in the levels of the hormone.

Conclusion: SETA is contemporary minimally invasive treatment that requires further study. Its use is possible in severe forms of GD and the presence of severe concomitant diseases. The method facilitates fast enough cupping effects of hyperthyroidism, thyroid volume reduction.