100 Cases! Dr. Emad Kandil Discusses nPulse Thyroid Nodule Ablation
100 Cases! Dr. Emad Kandil Discusses nPulse Thyroid Nodule Ablation
Can you treat a thyroid nodule without heat or surgery? In this milestone episode of Save Your Thyroid, Jennifer Holkem welcomes back pioneer Dr. Emad Kandil, Chief of Endocrine Surgery at Tulane University, to celebrate a massive clinical achievement: completing over 100 cases using nPulse™ nanosecond Pulsed Field Ablation (nsPFA).
While Radiofrequency Ablation (RFA) and Microwave Ablation (MWA) use thermal energy (heat) to destroy nodules, nPulse is a non-thermal technology that uses ultra-fast electrical pulses to trigger apoptosis—natural cell death—at the cellular level. This means faster recovery, less post-op pain, and a new level of safety for nodules located near "danger zones" like the recurrent laryngeal nerve.
🔬 What We Cover in This Episode:
-Thermal vs. Non-Thermal: Why "nanopores" are changing the game for precision and safety.
-The 100-Case Milestone: Real-world clinical insights into patient recovery, NSAID use, and rapid volume reduction (often 70%+ in just one month).
-Cancer & Complex Cases: Dr. Kandil discusses the MD Anderson clinical trial for Papillary Thyroid Microcarcinoma (PTMC) and using nsPFA for toxic (hyperfunctioning) nodules.
-Non-Responders: Can nsPFA help patients who didn't see results from previous RFA or MWA treatments?
-The Insurance Frontier: An honest discussion on CPT codes, reimbursement, and the future of access to this technology.
Whether you are a patient looking to avoid the scar and lifelong medication of a thyroidectomy, or a clinician following the latest data in interventional endocrinology, this deep dive into nsPFA technology is a glimpse into the future of thyroid care.
Chapters
00:00 Introduction to Non-Surgical Thyroid Interventions
01:49 Milestone Achievements in Nanosecond Pulse Field Ablation
04:21 Understanding Nanopulse Technology and Its Advantages
06:58 Comparing Thermal Ablation and Nanopulse Techniques
09:14 The Patient Experience: Comfort and Recovery
11:43 Training and Experience in Nanopulse Procedures
14:31 Sedation and Its Impact on Treatment Outcomes
17:00 Post-Procedure Recovery and Follow-Up
19:08 Case Studies and Success Stories
21:44 Future of Thyroid Treatments and Innovations
26:52 Innovations in Treating Toxic Nodules
29:20 Advancements in Thyroid Cancer Treatment
36:56 The Importance of Active Surveillance
43:14 Navigating Treatment Options for Thyroid Cancer
47:42 Insurance Challenges in Thyroid Treatment
52:18 Navigating Thyroid Health and Community Support
🔗 MD Anderson Clinical Trial (PTMC): Contact the study team directly to ask about the "nPulse PTMC Trial":
Principal Investigator: Dr. Victoria Banuchi
Phone: 346-217-8668
General MD Anderson Trials Line: 1-877-632-6789
👥 Connect with Dr. Emad Kandil:
https://kandilablationcenter.com/
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