A difficult graves case and an alternative option in treatment of hyperthyroidism: bilateral selectivethyroid artery embolization
Okan Bakıner, Emre Bozkırlı, Osman Kızılkılıç, Eda Ertörer
Keywords: GravesDisease, Management af hyperthyroidism, Thyroidarteryembolization
The traditional treatment methods of hyperthyroidism like antithyroid drugs, radioactive iodine and surgery may be insufficient sometimes. Thyroid artery embolization may be an effective and safe therapy choice in selected cases who can not be treated with conventional therapies. Pharmacotherapy was given to the 32-year-old male patient with Graves disease diagnosis who was operated for metastatic malignant tumour of head-neck region, took radiotherapy and receiving chemotherapy. Selective thyroid artery embolization was performed to the patient who could not continue pharmacotherapy due to drug adverse effects, who can not take radioiodine therapy because of iodine exposure and who can not be operated due to high risk and low chance of success. No serious complication was observed after procedure, and the patient remained euthyroid without medication. Radioiodine therapy was given to the patient because of recurrent hyperthyroidism in the eleventh month of follow-ups. Thyroid artery embolization can be used as a therapeutic option in challenging clinical situations of Graves disease because of its low invasivity and high effectiveness.