Dr Jeyaseelan -Neuroimaging and Interventional Neuroradiology

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The field of" Interventional neuroradiology" has grown leaps and bounds in the last decade and changed the way we treat ...
31/05/2024

The field of" Interventional neuroradiology" has grown leaps and bounds in the last decade and changed the way we treat some of the complex neuro vascular problems in modern medicine.. sharing some of the advanced endovascular procedures performed in the last few weeks at Kolenchery Institute of neurological disorders ( KIND)
1. Elderly male with recurrent sub dural hemorrhage, underwent successful middle meningeal artery embolization to prevent future recurrence of SDH
2. Middle aged female with incidentally detected multiple intracranial aneurysm underwent novel flow diverter stent to allow healing of aneurysm and prevent fatal rupture
3. Elderly female with ruptured acom aneurysm - underwent successful endovascular coiling of aneurysm to prevent fatal rerupture
4. Young girl with avidly vascular posterior fossa brain tumor - underwent preoperative embolization of tumor feeders to reduce intraoperative blood loss
5. Elderly male with left hemispheric stroke due to ICA and distal ACA occlusion - underwent successful mechanical thrombectomy with complete recanalization of occluded ICA and ACA.
6. Elderly male with right hemispheric stroke due to segmental MCA occlusion - underwent mechanical thrombectomy with successful recanalization and good clinical recovery

87 F, on pacemaker had a sudden fall, fractured her left hip..initially left hemiplegic, umn facial and dysarthria..rec...
19/09/2023

87 F, on pacemaker had a sudden fall, fractured her left hip..initially left hemiplegic, umn facial and dysarthria..recovered on its own within 15 min.reached our centre aftr 4 hrs of ictus..nihs at admission was just2 ..Imaging Showed M1 occlusion with robust pial collaterals..
LVO with low NIHSS is always dilemma whether to treat or not...here MT performed using solumbra technique..single pass TICI 3 recanalization achieved..

💥💥💥This case made ONAM day extra Special and memorable 💥💥💥Elderly male , presented in altered sensorium .Imaging Showed...
29/08/2023

💥💥💥This case made ONAM day extra Special and memorable 💥💥💥

Elderly male , presented in altered sensorium .Imaging Showed early infarct changes in right thalamus and upper midbrain with occlusion of basilar artery and PCA. DSA showed severe ostial stenosis in dominant left vertebral artery with basilar top occlusion .pt underwent successful mechanical thrombectomy followed by left vertebral artery stenting with complete clinical recovery

Power of flow diversion...3 month clinical follow up following fd with coiling for an giant ICA aneurysm presented with...
09/08/2023

Power of flow diversion...3 month clinical follow up following fd with coiling for an giant ICA aneurysm presented with ptosis

Power of flow diversion...3 months follow up DSA -post FD for left ICA aneurysm
09/08/2023

Power of flow diversion...3 months follow up DSA -post FD for left ICA aneurysm

Elderly male presented with acute right hemiplegia with aphasia.NIHSS -14 Imaging left MCA ICAD related M2 occlusion..c...
21/06/2023

Elderly male presented with acute right hemiplegia with aphasia.NIHSS -14
Imaging left MCA ICAD related M2 occlusion..came within two hrs..post lysis no improvement.. Mechanical thrombectomy with embotrap followed by sub max balloon angioplasty achieved TICI 2C recanalization.Nihss dropped from 14 to 4

Young female with ruptured acom aneurysm..bovine arch..transradial simple coiling performed to prevent fatal rerupture. ...
21/06/2023

Young female with ruptured acom aneurysm..bovine arch..transradial simple coiling performed to prevent fatal rerupture.

Elderly male with minor left MCA stroke..CTA showed left carotid web..Patient underwent carotid stenting to prevent f...
21/06/2023

Elderly male with minor left MCA stroke..CTA showed left carotid web..Patient underwent carotid stenting to prevent future stroke

Middle aged male presented with seizures..Imaging revealed Cognard type IV dural AVF in the Left temporal region..Patien...
24/05/2023

Middle aged male presented with seizures..Imaging revealed Cognard type IV dural AVF in the Left temporal region..Patient underwent successful transarterial embolization with squid 18 with complete angiographic cure of AVF.

Elderly male with recurrent right hemispheric TIA, Dsa - ugly ulcerated plaque in right cervical ICA..elective stenting ...
24/05/2023

Elderly male with recurrent right hemispheric TIA, Dsa - ugly ulcerated plaque in right cervical ICA..elective stenting aftr 5 days of DAPT preformed to reduce future stroke risk

Middle aged male with acute left hemiplegia..nihss 18 Imaging ica terminus clot with cervical Ica pseudo occlusion..came...
15/05/2023

Middle aged male with acute left hemiplegia..nihss 18
Imaging ica terminus clot with cervical Ica pseudo occlusion..came within two hrs..post lysis no improvement..TICI 3 in 20 min..two passes with Red 72 and embotrap...Nihss dropped from 18 to 4 and recovering
Let's celebrate world thrombectomy day and thank all those involved in bringing the cutting edge technology , which is saving millions of lives !

Elderly male , presented in altered sensorium, ptosis and hemodynamic instability .CT showed the devastating basilar top...
08/04/2023

Elderly male , presented in altered sensorium, ptosis and hemodynamic instability .CT showed the devastating basilar top occlusion, pt underwent successful mechanical thrombectomy with complete clinical recovery

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