Dr.Vinayagamani , Neuro & Vascular Interventional Radiology

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Dr.Vinayagamani , Neuro & Vascular Interventional Radiology Neuro & Vascular Interventions

A middle-aged female with an ophthalmic segment internal carotid artery brain aneurysm was successfully treated with flo...
10/10/2025

A middle-aged female with an ophthalmic segment internal carotid artery brain aneurysm was successfully treated with flow diverter placement, achieving complete flow stasis. The patient had an uneventful recovery & discharged on postoperative day 3. Early risk stratification & intervention, effectively prevents potential aneurysm rupture, which can be life-threatening.

🧠 Recurrent Hemodynamic Stroke :Intracranial StentingA 60-year-old gentleman with recurrent bihemispheric hemodynamic mi...
05/10/2025

🧠 Recurrent Hemodynamic Stroke :Intracranial Stenting
A 60-year-old gentleman with recurrent bihemispheric hemodynamic minor strokes (mRS 1) was found to have severe right cavernous ICA stenosis with complete left ICA occlusion. He was successfully treated with intracranial angioplasty and stenting of the right cavernous ICA, resulting in good opening and flow dynamics , therefore augmenting bilateral hemispheric perfusion. βœ… No recurrent ischemic events on follow-up


🫁 Catheter-Directed Thrombolysis for Pulmonary Embolism in a High-Risk PatientA middle-aged female with recent MCA strok...
03/10/2025

🫁 Catheter-Directed Thrombolysis for Pulmonary Embolism in a High-Risk Patient
A middle-aged female with recent MCA stroke on dual antiplatelets developed acute desaturation, tachycardia, and RV dysfunction. CT pulmonary angiogram revealed thrombi in both pulmonary arteries.
Systemic thrombolysis was contraindicated, so we performed catheter-directed thrombolysis.
βœ… Next day: Oxygen requirement improved significantly, with near-complete thrombus clearance on imaging.
This case highlights CDT as a safe, effective option for high-risk PE when systemic thrombolysis is unsafe.

🧠 Antiplatelet-Resistant Large Vessel stroke / Occlusion - MT awareness post An elderly gentleman was rushed in with an ...
28/09/2025

🧠 Antiplatelet-Resistant Large Vessel stroke / Occlusion - MT awareness post
An elderly gentleman was rushed in with an acute basilar artery stroke. Despite being on antiplatelets, he had a large vessel occlusion, was unconscious, and on a ventilator.
With the effort of our stroke team, we performed an emergency mechanical thrombectomy.
βœ… First-pass TICI 3 recanalization was achieved.βœ… Within a week, he was off the ventilator and began to recover neurologically

21/09/2025

🧠 Sentinel Headaches – Don’t Ignore Them!
An elderly woman with a brain aneurysm experienced sudden warning headaches. Early treatment with a flow diverter successfully prevented rupture.

Key Message: Sentinel headaches can signal an impending brain bleed. Early detection saves lives.

πŸ“… September – Brain Aneurysm Awareness Month
Spread the word. Awareness can be lifesaving!
πŸ’ͺ

An elderly female with a sentinel headaches due to left superior hypophyseal ICA aneurysm ( brain aneurysm) and was succ...
21/09/2025

An elderly female with a sentinel headaches due to left superior hypophyseal ICA aneurysm ( brain aneurysm) and was successfully treated with a flow diversion, achieving complete flow stasis & discharged POD 3
🧠 Sentinel headaches are an early warning of a possible aneurysm rupture. Timely diagnosis and treatment can prevent fatal brain hemorrhage.
πŸ“… September is Brain Aneurysm Awareness Month – let’s spread awareness and save lives



Uterine fibroid Embolization – Impact of IR50/F with large fibroid, on DAPT for prior stent, presented with bleeding PV ...
18/09/2025

Uterine fibroid Embolization – Impact of IR
50/F with large fibroid, on DAPT for prior stent, presented with bleeding PV & urinary compression symptoms. Surgery not an option.
πŸ‘‰ Embolization done
πŸ‘‰ Follow-up: marked shrinkage, complete resolution of symptoms & bleeding (cystic changes in MRI expected to resorb)
✨ Clear value of Interventional Radiology when surgery cannot be opted or required

12/09/2025

🚨 Paralysis Reversed – A Stroke Success Story 🚨

An elderly gentleman came to us with severe paralysis from a major stroke (left MCA blockage).
Within the golden period, our stroke team acted fast. He underwent clot removal (mechanical thrombectomy), achieving complete restoration of blood flow (TICI 3).

✨ The result? A remarkable recovery β€” he regained his mobility and independence, a true reversal from paralysis.

This case proves one thing: In stroke, every minute counts. Time is Brain! 🧠⏱️


05/09/2025

⏰ Every second counts in stroke care β€” teamwork saves lives! 🧠

🚨 Extended-window basilar stroke β€” saved by rapid stroke team action 🚨

A young woman presented with very low GCS due to basilar top syndrome from a distal embolic basilar artery occlusion (secondary to acute right V2 vertebral dissection).

She arrived in an ⏰ extended time window, but our stroke team 🀝 acted fast with urgent mechanical thrombectomy 🧠. Complete TICI 3 recanalization βœ… was achieved, and she is now showing gradual neurological recovery πŸ’ͺ.

This case shows how ⚑ speed, 🀝 teamwork, and 🎯 endovascular expertise can turn a near-fatal posterior circulation stroke into a story of recovery.

🧠 A young female with low GCS from basilar top syndrome due to distal embolic basilar artery occlusion (secondary to acu...
05/09/2025

🧠 A young female with low GCS from basilar top syndrome due to distal embolic basilar artery occlusion (secondary to acute right V2 vertebral dissection) arrived in an ⏰ extended window. Our stroke team 🀝 acted swiftly with urgent mechanical thrombectomy 🩺, achieving complete TICI 3 recanalization and gradual neurological recovery.
This case shows how team coordination, speed, and 🎯 endovascular expertise can turn a near-fatal posterior circulation stroke into a story of recovery.

🚨 Cryptogenic Stroke in a Young Patient – Hidden threat - Carotid Web🧠 A young male presented with an embolic events. Wo...
01/09/2025

🚨 Cryptogenic Stroke in a Young Patient – Hidden threat - Carotid Web
🧠 A young male presented with an embolic events. Workup revealed a carotid web, one of the underrecognized causes of cryptogenic stroke in young patients.⚠️ Despite medical therapy, recurrent stroke risk remains high due to altered flow dynamics, shear stress, and flow stasis.
βœ…Successfully treated with carotid stenting, sealing the web and eliminating the embolic stroke risk to zero.

πŸ‘©β€βš•οΈ A young female with a large multinodular goiter (~120 cc) underwent thyroid artery embolization, opting against sur...
28/08/2025

πŸ‘©β€βš•οΈ A young female with a large multinodular goiter (~120 cc) underwent thyroid artery embolization, opting against surgery and lifelong hormone supplements.
βœ… On follow-up, she showed reduction in neck swelling and symptoms while remaining euthyroid. Though major volume reduction is usually seen over time, this early improvement is encouraging.
πŸ“– Literature suggests further shrinkage on long-term follow-up, supporting embolization as a safe, minimally invasive alternative to surgery in selected patients.

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Neuroscience Center ; Hannah Joseph Hospital
Madurai
625009

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Monday 9am - 6pm
Tuesday 9am - 6pm
Wednesday 9am - 8pm
Thursday 9am - 8pm
Friday 9am - 8pm
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