MCA aneurysm coiling with bouble microcatheter technique



 



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Preoperative embolisation of large craniofacial tumour with direct percutaneous nBCA glue and transarterial PVA particles.



 

 



 


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Preoperative embolization and internal carotid artery coil sacrifice in a case of juvenile nasopharyngeal angiofibroma




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Parent vessel occlusion with coils and plug for treating cervical internal carotid artery aneurysms




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Braided stent assisted coiling of re-ruptured anterior communicating artery aneurysm.



This is a short case of a patient with intra-DSA rupture of an aneurysm, who underwent stent assisted coiling using a braided stent





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Endovascular Infusion of Amphotericin B for theTreatment of Rhino-Orbito...




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Endovascular coiling of an external carotid blowout post radiotherapy




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Occipital artery pseudoaneurysm embolization



 Endovascular embolization of a spontaneous pseudoaneurysm of the right occipital artery.

20% nBCA-lipiodol mixture was used to embolize the parent vessel which resulted in immediate stasis in the aneurysm and subsequent complete thrombosis. Over a period of time, the swelling resolved spontaneously


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Embolization of Carotid blowout in a COVID-19 + post-radiotherapy carcinoma of the larynx patient



 Endovascular embolization with NBCA (glue) -lipiodol mixture of Carotid blowout in a COVID-19 + post-radiotherapy carcinoma of the larynx patient.

It is a fatal condition due to erosion of the blood vessel by tumor or radiation, and has to be controlled urgently. As patients are often sick, endovascular approach is most suited.


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Carotid angioplasty and stenting in a nearly occluded artery



 This presentation is of a commonly performed procedure, i.e. carotid angioplasty and stenting. This is performed to protect from future stroke in symptomatic patients with more than 50% stenosis and asymptomatic patients with more than 70% stenosis of the carotid artery






Carotid angioplasty and stenting in a nearly occluded artery


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Preoperative embolization of juvenile nasopharyngeal angiofibroma




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Percutaneous nBCA glue embolization of skull base tumor



 This a short video of the case of a 60 years old female patient with a large hypervascular skull base tumor, an adenoid cystic carcinoma, with involvement of the parotid, ear, sigmoid sinus and internal jugular vein and intracranial extension. DSA showed dangerous arterial communications, hence it was embolized via direct puncture route. The tumor was devascularized more than 90% and operated successfully without much blood loss.








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GIANT FACIAL ARTERIOVENOUS MALFORMATION EMBOLIZATION



Direct puncture and endovascular trans-arterial embolization of a large complex left facial arteriovenous malformation;

Multi-session embolization; Pre-operative embolization; High concentration of nBCA glue utilized; Manual compression of draining vein to prevent the glue from flying off during embolization


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Preoperative tumor embolization of a pediatric orbital rhabdomyosarcoma



 Preoperative tumor embolization | pediatric orbital rhabdomyosarcoma | combined percutaneous and endovascular embolization | glue embolization | bloodless surgery






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Endovascular nBCA glue embolization of sacral spinal arteriovenous fistula



 Endovascular glue embolization of sacral spinal arteriovenous fistula was performed in a gentleman with prior spine surgeries and cardiac issues. His procedure was performed under local anesthesia and complete cure was achieved without surgery





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Endovascular coiling of distal PICA aneurysm with parent vessel sacrifice




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Stent assisted coiling of ruptured basilar tip aneurysm




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Balloon assisted endovascular coiling of ruptured basilar tip aneurysm




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Endovascular coil embolization of large pial arteriovenous fistula of the left parietal region



 

The procedure is abut Endovascular coil embolization of large pial arteriovenous fistula of the left parietal region in a young woman





Coil embolization of pial AVF


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Pinna AVM embolisation



A young man presented with pulsatile swelling of the left pinna, with reddish brown skin discoloration.
He was diagnosed to have arteriovenous malformation and was taken up for  DSA and embolisation under local anesthesia.
DSA showed a high flow AVM with a large fistula. This was then catheterized with a Progreat 2.7 Fr microcatheter, considering the large size of the feeder and the macro-fistula. Embolisation was done with 20% nBCA-lipiodol mixture. Complete exclusion of the AVM was achieved.
There was subsequently blackening of the skin of the earlobe, which necrosed and fell off, it was conservatively managed, with normal smooth skin formation over the ulcerated area and near comparable appearance with the opposite pinna. However there was some redness present in the mid-pinna, which was not explained, and was left behind. This patient is now in follow up since three years.

Microcatheter injection, showing the AVF

Microcatheter injection, late phase, showing the nidus

Post embolisation, control angiography, showing complete exclusion of the AVM
  
Glue cast, fluorospot image



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