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Dr. Ajit Thapa - Interventional radiologist. MD, FVIR, EBIR

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Nepal
Kathmandu
Dr. Ajit Thapa - Interventional radiologist. MD, FVIR, EBIR

Interventional Radiologist
MBBS,MD, EBIR (European board of Interventional Radiology), Fellowship in Interventional Radiology (Medanta The Medicity)

Interventional radiologic procedures offered:

1.Tissue sampling:

USG / CT Guided Percutaneous FNAC / biopsies for parenchymal diseases (liver, kidney) or targeted biopsy for suspicious cancer

Transjugular liver biopsy

2. Percutaneous Drainages:

USG / CT Guided percutaneous drainages of fluid/collection and tube managements in eg pleural and abdominal collections

Pancreatitis collections

(Step up approach)

3. Hepatobiliary:

PTBD, Cholangioplasty, Biliary Stenting (SEMS), Intraducal biliary sampling (Brush/forceps), Biliary stone extraction, Cholecystostomy. HJ stricture management, PAIR for hepatic hydatid, liver abscess drainage. Portal hypertension interventions TIPSS, BRTO, Partial splenic embolisation, Hepatic venous pressure gradient measurements. Portal Vein Embolisation for pre hepatic resection hepatic hypertrophy

IR management Budd Chiari up Syndrome: Hepatic venoplasty, IVC plasty, DIPS

4. Vascular:

Endovascular management of Peripheral vascular disease

Endovascular management of failing dialysis fistula

Embolosclerotherapy for vascular malformation

Venous accesses (PICC line,Central line,Tunneled dialysis catheter, Chemoport placement )

Endovenous varicose vein ablation

IVC filter placement

Targeted venous sampling eg: renal, adrenal venous sampling

5. Oncology:

Tumor embolisation: TAE/TACE

Tumor ablation: Chemical and Thermal ablation (Liver, Kidney, Bone, thyroid, lungs )

PICC line/ Chemoport placement

6. Urology:

Percutaneous Nephrostomy

Antegrade DJ Stenting

Suprapubic cystostomy

Renal Cyst ablation

TRUS guided prostate biopsy

Renal tumor embolisation: eg Angiomyolipoma, RCC

Prostatic artery embolisation for prostatic hypertrophy

Varicocele embolisation

7. Genitourinary:

Uterine artery embolisation for uterine AVM,

Uterine Fibroid Embolisation

8. Gastrointestinal:

For palliative feeding Percutaneous fluoroscopic gastrostomy, Jejunostomy

GI embolisation for bleeding

Mesenteric ischemia management like SMA thrombolysis and stenting

9. Emergency IR:

Embolisation for bleeding like Hemoptysis, Gastrointestinal, Post traumatic internal bleeding (Eg:Bronchial artery embolisation, Renal artery embolisation, Uterine artery embolisation, Splenic artery embolisation, Mesenteric artery embolisation )

14/02/2025

Hepatic venous pressure gradient measurement is a minimally invasive gold standard tool to measure pressure in portal vein. It's useful in detecting borderline portal hypertension and prognostication risk of Variceal bleeding. A daycare procedure done in IR suite.

15/12/2024

Thermal ablation for hepatocellular carcinoma ( HCC) - A minimally invasive treatment for early HCC with results equivalent to surgical resection. Many guidelines including BCLC has recommended thermal ablation as a treatment modality in early HCC.
First year follow -up CT showing complete death of tumor.

02/12/2024

LIVCON 2024, Hepatobiliary interventions, what I love.Thankyou organising team for the opportunity. Presenting "IR managing Variceal bleeding".

20/11/2024

Varicose veins

08/08/2024

Angiomyolipoma, a rare hyper vascular kidney tumor, benign but if bleeds lead to life-threatening condition. Embolization can stop bleeding or prevent it from bleeding and has therapeutic benefits. AML when it's larger than 4 cm is advised to get treated. Embolization for AML is a minimally invasive procedure, where the tumor feeding artery is selectively cannulated from groin artery with the help of small tubes called catheter and subsequently embolised( occluded ) with various agents available. Embolization is done under radiological guidance under fluoroscopy.

31/07/2024

"संखुवासभा नेपालको रगत बगेको मेरो नसा"
"Interventional radiology" एउटा छोटो चिनारी

11/05/2024

सानो आन्द्राबाट अत्याधिक रक्तश्राव हुँदा CT बाट पत्ता लगाई fluoroscopy को माध्यमबाट फुटेको धामनी सम्म पुगेर Glue ले बन्द गरी रक्तश्राव नियन्त्रण गरेको केही CT र Fluoroscopy का तस्वीरहरु। Interventional radiology को विधिहरु शरीरमा मसिनो सुइ जत्रो प्वालबाट धेरै जसो बिरामीलाई बेहोस नगराई गर्ने गरिन्छ।

10/05/2024

"Microwave ablation" killing cancer by heat. First follow up showing complete death of liver cancer.

02/04/2024

१ महिना पहिले Microwave ablation पद्धतिबाट कलेजो क्यान्सरको उपचारको पहिलो फलोअप र त्यस्तै अर्को क्यान्सरको सोही पद्धतिबाट सफल उपचार पश्चातको CT स्क्यान ।
बिना चिरफार सानो सुईबाट गरिने यो उपचार विधिमा क्यान्सरलाई केवल ५ मिनेट तताएर मारिन्छ।

05/03/2024

Killing one more liver cancer with Microwave ablation.

09/02/2024

Long-term follow up ( 2 years) of liver cancer near diaphragm. CT showing complete tumor death.
Treatment modality: combined MWA ( microwave ablation) and TAE( trans arterial embolization) .

06/02/2024

BRTO
Cirrhosis को कारणले कलेजो मा ७५%रगत लाने नसा portal vein को प्रेसर बढ्नाले उत्त रक्तचाप घटाउन शरीरमा portal vein लाई systemic vein मा जोड्ने channels फुलेर आउँछ। कतिपय तेस्ता च्यानलले अन्ननली, पेट र अन्य सानोआन्द्रालाई बाटो बनाउँदै बग्ने गर्छ। यस्ता फुलेको रगतको च्यानल लाई varices भनिन्छ। Varices हरुको wall कमसलहुने हुनाले फुटेर रक्तश्राव हुने सम्भावना अत्यधिक हुन्छ। अन्ननलीका varices endoscopy मार्फत banding गरिन्छ भने पेटको varices लाई endoscopic glue, BRTO र TIPS जस्ता प्रक्रिया गरिन्छ । पेटको varices हरु प्राणघातक हुने सम्भावना बेसी हुन्छ। Interventional radiology बाट गरिने यो उपचार विधिहरु नसमा सानो सुई मार्फत नै सम्भव हुन्छ।
BRTO मा खुट्टा वा घाँटीको सिरानाली को बाटो systemic outflow मा balloon फुलाई बाटो बन्द गरेर पेट को varices भरी sclerosing औषधि राखिन्छ। यसरी यी सबै varices हरु बन्द हुन्छ र रक्तश्राव को जोखिम निउन हुन्छ ।
यो उपचार पद्दति विषेशगरी जापानमा प्रख्यात छ ।
यसरी हामीले विगत ५ वर्षमा लगभग २५ जाना cirrhosis बिरामी को सफल BRTO गर्न सम्भव भएका छौं।
२५ औं BRTO को Images।

Address

Om Hospital
Kathmandu
44600

Telephone

+9779851248465

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