1. Coiling
Small aneurysm with brain haemorrhage which was not detected in CT angiogram. Did Endovascular coiling and aneurysm cured
One more case of brain haemorrhage… ct angiogram done outside was normal. We did dsa which showed aneurysm in distal aca. Underwent successful coil Embolisation and aneurysm was cured. Discharged the patient in few days time. It is important to do dsa for patient with brain haemorrhage…..
Young patient presented with severe headache. Ct scan showed brain haemorrhage. Angiogram showed Very small acom aneurysm…. very difficult to coil. But with newer coils it can be done. Patient is doing fine.
2. Balloon Assisted Coiling
Wide neck ica aneurysm with small ant choroidal coming next to the aneurysm . Did balloon assisted coiling. It was possible to cure the aneurysm and save the small artery….
Wide neck ACOM Aneurysm , successful coiling with balloon assistance.
Wide neck superior Cerebellar artery aneurysm. Used balloon to save the Sca artery and coiling was done successfully.
3. Stent assisted coiling
Stent assisted coiling of two adjacent aneurysms, challenging Case. The important stent is this case is to save artery to the eye( ophthalmic artery).
4. Carotid stenting
Severe narrowing in a tortuous blood vessel. Post STENTING no residual stenosis. Earlier it was very difficult to treat these conditions. With new devices it is possible to do these cases now
Case of dissection of carotid artery…. commonest cause is Neck manipulation during hair cutting. Please avoid Neck manipulation it can produce stroke and even death. This patient underwent carotid STENTING and the dissection was cured….
5. Intracranial stenting
6. Mechanical thrombectomy for stroke
31y young presented with stroke 14 hours onset. Did Mechanical thrombectomy and patient improved significantly in 24 hours time. With recent Endovascular trials dawn and diffuse, the window for stroke has been extended to 24hours. We used Rapid imaging technique to select the patient for thrombectomy.
We are seeing more and more young patients with stroke. It is important to remember the pneumonic FAST
F – facial asymmetry
A – arm weakness
S- Speach disturbance
T- time to reach stroke ready hospital.
Acute stroke with Icad presented in 5 hours time. Did thrombectomy and Angioplasty….. patient improved significantly.
7. Dural fistula Embolization
Isolated transverse sinus Dural fistula … treated by Endovascular Embolisation. With the present materials it is very easy to treat this type of cases by Endovascular techniques
Case of indirect ccf with reflux into posterior Fossa. Presented with bulging of eyes. There was no acces to treat the fistula. We did Endovascular treatment by transvenous approach by drilling ips and cured the fistula. Patient eye symptoms improved and even prevented bleeding inside the brain.
Anterior SSS Dural fistula, successful Embolisation using onyx liquid Embolic material. Dural fistula is one of condition which can cause brain haemorrhage and it can safely be treated by Endovascular Embolisation.
8. Avm Embolization
Young girl with bleeding in her brain showed brain avm. We did Embolisation and it was cured completely.
9. Vein of Galen malformation Embolization
10. Pre op Tumor Embolization
Pre op vascular tumor Embolisation. There will be minimal blood loss during surgery. Earlier it was very difficult to treat such cases.
11. Flow divertor for aneurysm
Patient had Brain haemorrhage, Angio showed multiple aneurysm underwent coiling outside india. We deployed Flow Divertor across all the aneurysm.
Ica aneurysm with tortuous vessel, deployed flow Divertor. Few coils were also placed.
Had placed flow Divertor for this patient with multiple aneurysm. Did check angiogram and the aneurysm has disappeared. Flow Divertor works beautifully.
Pregnant lady developed brain haemorrhage after delivery. Dsa showed aneurysm in Basilar artery. Earlier it was not possible to treat these cases. Now a days flow Divertor STENTING is an option. The patient is saved.
Large partially Thrombosed ica aneurysm. Presently we are not using coils. We are using flow Divertor’s and immediately there is stasis of contrast and aneurysm will shrink in few months time. Excellent device to cure unruptured large aneurysms