In addition to the basic techniques used in radiofrequency ablation of thyroid nodules, a variety of more advanced techniques have been developed. To address hyper-vascular nodules, vascular ablative techniques have been described. Protective hydro-dissection can be used around the carotid artery and the trachea to improve safety. Rescue hydro dissection can be used to reverse nerve injury. Additionally, several new ablation devices show promise at increasing efficacy and safety. These techniques and devices will be reviewed to provide an understanding of these advanced techniques and novel devices.
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