{
  "abstract": "Thyroid artery embolization (TAE) is a minimally invasive technique that induces selective ischemic necrosis of the thyroid parenchyma, thereby reducing thyroid hormone synthesis with few associated complications. Successful cases of TAE as a bridge therapy before total thyroidectomy in patients with refractory thyrotoxicosis are rare. We present the case of a 36‐year‐old man with a history of Graves’ disease and poor adherence to medical therapy who presented with clinical features of thyrotoxicosis. On physical examination, he exhibited active moderate‐to‐severe orbitopathy (EUGOGO classification; clinical activity score 5/7) and a grade III goiter, reflecting advanced and poorly controlled disease. Paraclinical findings revealed markedly elevated free T4 levels and suppressed TSH. The diagnosis of uncontrolled hyperthyroidism was made, with a Burch–Wartofsky score of 40 points, indicating an impending thyroid storm. Medical therapy at maximally tolerated doses did not result in a complete clinical response; therefore, a total thyroidectomy was planned, preceded by therapeutic plasma exchange (TPE). Due to intolerance to TPE, TAE was performed as a bridge therapy, followed by total thyroidectomy without complications. The patient was discharged with a resolution of symptoms and progressive normalization of thyroid hormone levels. TAE may represent a valuable bridging therapy before total thyroidectomy in selected patients with severe thyrotoxicosis due to Graves’ disease who are refractory to or unsuitable for conventional therapies.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Internal Medicine Universidad Industrial de Santander Bucaramanga Santander Colombia uis.edu.co"
  ],
  "article_type": "case study",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Cesar Alfonso Gomez-Fontalvo",
      "orcid": "0000-0003-3878-4747"
    },
    {
      "affs": [
        0
      ],
      "name": "Silvia Alejandra Díaz–Jaimes",
      "orcid": "0009-0005-3856-5335"
    },
    {
      "affs": [
        0
      ],
      "name": "María Paula Rangel–Villamizar",
      "orcid": "0000-0003-2065-2260"
    },
    {
      "affs": [
        0
      ],
      "name": "Diego Augusto Moreno-Diaz",
      "orcid": "0000-0003-4033-8199"
    },
    {
      "affs": [
        0
      ],
      "name": "Rafael Castellanos-Bueno",
      "orcid": "0000-0001-5506-4026"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/aa1mhvdnmjwh4.bib",
  "cited_by": 0,
  "doi": "10.1155/crie/8194736",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13700110/",
  "id": "aa1mhvdnmjwh4",
  "issns": [
    "2090-6501",
    "2090-651X"
  ],
  "landing_url": "https://doi.org/10.1155/crie/8194736",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Article"
    ],
    [
      "heading",
      "Case Report"
    ],
    [
      "openalex",
      "2712|Thyroid Disorders and Treatments"
    ]
  ],
  "openalex": "W7223672478",
  "pdf_url": "https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/crie/8194736",
  "pmcid": "PMC13700110",
  "pmid": "42936566",
  "published": "2026-10-26",
  "publisher": "Wiley",
  "ris": "https://research.draconitic.com/paper/aa1mhvdnmjwh4.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:37Z",
      "native_id": "PMC13700110",
      "source": "pmc",
      "url": "https://doi.org/10.1155/crie/8194736"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2712|Thyroid Disorders and Treatments",
      "subfield": "endocrinology-metabolism"
    }
  ],
  "title": "Embolization of Thyroid Arteries as a Bridge Therapy Before Thyroidectomy in a Patient With Thyrotoxicosis: Case Report",
  "title_text": "Embolization of Thyroid Arteries as a Bridge Therapy Before Thyroidectomy in a Patient With Thyrotoxicosis: Case Report",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:36:34Z",
  "url": "https://research.draconitic.com/paper/aa1mhvdnmjwh4",
  "venue": "Case Reports in Endocrinology",
  "versions": []
}