Hands-On Thyroid Radiofrequency Ablation: Patient Selection, Technique and Outcomes

COURSE FORMAT

This course is structured in two parts:

Part I – Open Scientific Session (14:00–15:30)

Part II – Advanced Hands-On Workshop (15:30–16:45)

HAND ON: Limited to 30 participants (first registered, first served). In case of no-shows, places will be reassigned to participants on the waiting list.
Each participant will perform a complete radiofrequency ablation procedure from beginning to end on dedicated training models under direct faculty supervision.

FACULTY

  • Volpi Erivelto
  • Marco Demarchi
  • Eveline Slotema
  • Maurilio Deandrea
  • Sophie Leboulleux
  • Ralph P. Tufano

 

PROGRAMME

14:00–14:10 | Welcome & Course Objectives

  • Structure of the course
  • Safety principles in thyroid ablation
  • Practical learning objectives

Speaker: Marco Demarchi (Geneva)

14:10–14:35 | Patient Selection and Evidence-Based Indications

  • Indications according to the guidelines
  • RFA vs ethanol vs other thermal techniques: who, when, and why
  • Contraindications and when ablation should not be performed
  • Multidisciplinary decision-making framework

Speaker: Eveline Slotema
Chairs: Volpi Erivelto / Marco Demarchi 

14:35–15:00 | Technical Fundamentals That Make the Difference

  • Trans-isthmic approach
  • Moving-shot technique
  • Hydrodissection and protection strategies
  • Critical safety anatomy (recurrent laryngeal nerve, vagus nerve, esophagus…)
  • Prevention and management of complications

Speaker: Maurilio Deandrea
Chairs: Eveline Slotema / Volpi Erivelto

15:00–15:15 | Clinical Outcomes and Structured Follow-Up

  • Expected volume reduction and timelines
  • Symptom and cosmetic improvement
  • Imaging follow-up schedule
  • Regrowth: indications for pretreatment vs surveillance

Speaker: Sophie Leboulleux
Chairs: Maurilio Deandrea  / Ralph P. Tufano

15:15–15:35 | Emerging Technologies: nsPFA and the Future of Non-Thermal Ablation

  • Mechanism of non-thermal pulsed field ablation
    • Current evidence and ongoing studies
    • Potential advantages and future clinical integration

Speaker: Ralph P. Tufano
Chairs: Marco Demarchi / Volpi Erivelto

15:30–17:00 | Advanced Hands-On Workshop (Limited to 30 Participants)

Complete Radiofrequency Ablation Simulation

All participants will work on identical training stations, each equipped.

Hands-On Structure

Each participant will:

  1. Perform ultrasound mapping and procedural planning
  2. Define safe access and trans-isthmic trajectory
  3. Execute hydrodissection (simulation)
  4. Perform the moving-shot technique
  5. Complete full nodule ablation simulation
  6. Review energy delivery strategy and troubleshooting

Faculty members will rotate continuously between participants, providing:

  • Real-time correction
  • Technical tips
  • Safety feedback
  • Troubleshooting guidance

This format ensures that every participant performs a complete procedure independently, rather than observing or rotating through partial tasks.

High faculty-to-participant ratio guarantees direct supervision and interaction.

17:00–17:10 | Take-Home Messages & Closing

Speaker:
Marco Demarchi