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Carotico-Cavernous Fistula

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Coiling of the ruptured  Acom aneurysm
Coiling of the ruptured Acom aneurysm

A 38 year old female presented with sudden onset headache and CT showed subarachnoid haemorrhage. Angiogram showed saccular aneurysm at Acom location. The aneurysm was occluded by using detachable platinum coils. Post coiling check angio showing complete occlusion of the aneurysm. Patient recovered well from the surgery and doing well.

STENT ASSISTED COILING OF ICA ANEURYSM
STENT ASSISTED COILING OF ICA ANEURYSM

55 year old female presented with complaints of headache and drooping of left eye lid. MR angiogram showed left ICA - Pcom aneurysm. Because of the wide neck of the aneurysm the aneurysm was treated by coils with stent as scaffolding (stent assisted coiling) to prevent protrusion of the coils into the parent artery. Post procedure there was significant resolution of the symptoms

INTRACRANIAL AVM EMBOLIZATION
INTRACRANIAL AVM EMBOLIZATION

A 38 year old gentleman presented with giddiness and right facial palsy. CT revealed bleed in the right middle cerebellar peduncle. Vertebral angiogram revealed AVM nidus with arterial feeders from right anterior inferior cerebellar artery. Onyx embolisation of the AVM nidus was done to completely occlude the nidus.

GLUE EMBOLIZATION OF THE SPINAL AVM
GLUE EMBOLIZATION OF THE SPINAL AVM

16 year old girl presented with paraplegia with bladder disturbance. MRI spine revealed venous congestive myelopathy with flow voids. Spinal angiogram revealed perimedullary fistula with venous aneurysms. The fistula was emboli zed with 33% n-butyl cyanoacrylate. Patient started walking with support after 15 days.

Intracranial AVM Embolization
Intracranial AVM Embolization

A 38 year old gentleman presented with giddiness and right facial palsy. CT revealed bleed in the right middle cerebellar peduncle. Vertebral angiogram revealed AVM nidus with arterial feeders from right anterior inferior cerebellar artery. Onyx embolisation of the AVM nidus was done to completely occlude the nidus.

Intracranial AVM Embolization
POSTERIOR CIRCULATION STROKE - MECHANICAL THROMBECTOMY

32 year old female suffered embolic occlusion of the basilar artery due to proximal subclavian artery thrombus. She had giddiness and cranial nerve palsies. Emergency angio showed midbasilar occlusion. Mechanical thrombectomy of the basilar thrombus was done, leading to complete opacification of the basilar artery

Embolization for Spinal AVM in Hyderabad
STENTING FOR SYMPTOMATIC INTRACRANIAL STENOSIS

72 year gentleman history of old left hemiparesis from which he was recovered. Now he presented with recurrent right sided TIA. Angiogram revealed 80% stenosis of the left petrous ICA. Balloon expandable stent was deployed to open the artery.

DR.SURESH GIRAGANI CONSULTANT INTERVENTIONAL RADIOLOGIST at Apollo Hospital, has more than Seventeen years of clinical experience in vascular interventions with a special interest in neurovascular and peripheral vascular disease interventional procedures.

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