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Alcohol ablation, also known as percutaneous ethanol injection (PEI), is a minimally invasive procedure that uses concentrated alcohol (ethanol) to destroy abnormal tissue, such as tumors, cysts, or nodules. It is commonly used for thyroid nodules, liver tumors, and certain cardiac conditions.
🔹 Thyroid Nodules (Benign, toxic, or cystic nodules)
🔹 Liver Tumors (Hepatocellular carcinoma – HCC, cysts)
🔹 Parathyroid Adenomas
🔹 Renal Cysts (To prevent recurrence)
🔹 Cardiac Septal Ablation (For hypertrophic cardiomyopathy)
This procedure is often used as an alternative to surgery in patients who are not suitable for surgery or prefer a non-surgical approach.
📌 Preparation:
Performed under ultrasound or CT guidance
Local anesthesia is given to numb the area
No fasting required for most cases
📌 Steps:
1️⃣ A fine needle is inserted into the lesion under imaging guidance
2️⃣ Ethanol (95%-100%) is injected into the abnormal tissue
3️⃣ The alcohol destroys the targeted cells by dehydration and coagulation necrosis
4️⃣ The procedure takes 10-30 minutes and is minimally painful
5️⃣ The patient is monitored for a short period and can return home the same day
✅ Rest for a few hours after the procedure
✅ Mild pain or swelling at the site is normal
✅ Avoid heavy lifting or strenuous activity for a day
✅ Follow-up imaging may be needed to assess treatment success
✔ Minimally invasive – No surgery required
✔ Fast recovery – Done as an outpatient procedure
✔ Highly effective for small tumors and cysts
✔ Safe and repeatable if needed
🔸 Mild pain or discomfort at the injection site
🔸 Leakage of ethanol causing irritation of surrounding tissues
🔸 Infection or bleeding (rare)
🔸 Incomplete destruction, requiring repeat treatment
✅ Yes, it is a well-tolerated and widely used procedure
✅ Low risk compared to surgery
✅ Effective for shrinking nodules, cysts, and small tumors