Dr.Vinayagamani , Neuro & Vascular Interventional Radiology

06/11/2025

🧠 Ruptured Brain Aneurysm – A Life Saved!

A young woman came in with a sudden severe headache — later found to have a ruptured brain aneurysm (a weak, bulging blood vessel in the brain).

Through a minimally invasive endovascular coiling procedure, the aneurysm was safely sealed from inside without opening the skull. ✅

💪 The blood vessel was preserved, blood flow restored, and the risk of fatal rebleeding completely prevented.

Modern neurointervention techniques can save lives — quickly, safely, and effectively. 🧠✨

👉 If someone suddenly develops a “worst headache of life”, seek medical help immediately!
Early treatment makes all the difference. ❤️‍🩹

06/11/2025

🧠 Ruptured Brain Aneurysm – young female presented with acute subarachnoid and intraventricular hemorrhage due to a ruptured right proximal (dominant) PICA aneurysm. It was successfully treated with simple coiling, meticulously preserving the dominant PICA. ✅ Complete occlusion was achieved with preserved normal flow, ensuring a safe and simple approach and preventing fatal rebleeding. 🎯🩸

01/11/2025

🧠 Case Highlight: Functionally LVO-equivalent ACA Occlusion
A middle-aged man presented within the window period (6hrs , no FLAIR changes , mismatch) with acute ischemic stroke due to left-dominant proximal A1 ACA occlusion — a functionally large vessel occlusion (LVO) equivalent.He underwent mechanical thrombectomy with TICI 3 complete reperfusion, underscoring timely reperfusion and tissue salvage.

29/10/2025

🧠✨ Every Minute Counts in Stroke!
Stroke can strike anyone, anytime — but timely action can save the brain and even reverse paralysis.

🚨 Recognize the signs — Act FAST:
👉 F – Face drooping
👉 A – Arm weakness
👉 S – Speech difficulty
👉 T – Time to reach a stroke-ready hospital

Modern treatments like mechanical thrombectomy can restore blood flow and transform outcomes — but only if done on time.
Let’s spread awareness and ensure no minute is lost!

29/10/2025

21/10/2025

🧠 Rescue Angioplasty in Basilar Stroke – When Less Is More! : A 56-year-old male with posterior circulation stroke, basilar artery occlusion underwent mechanical thrombectomy with an underlying right V4 ICAD lesion causing critical stenosis.Rescue balloon angioplasty with tirofiban infusion. Vessel and flow remained stable. Patient extubated and neurologically intact except for left hemiparesis. Angioplasty-only rescue achieving durable recanalization reducing bleeding risk in ICAD-related LVOs, seen in 25–30 % of thrombectomy cases

17/10/2025

17/10/2025

🧠 Flow-Diverter for Right Intradural V4 Vertebral Artery Dissecting Aneurysm
A hypertensive female presented with a dissecting fusiform aneurysm of the right intradural (V4) vertebral artery involving the PICA origin ⚠️.
Given the high risk of re-rupture, she was treated endovascularly with a flow-diverter stent 🩺✅, achieving excellent flow stasis and vessel reconstruction.
She remained neurologically intact and was discharged in good condition 🏥.

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.

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. ✅ No recurrent ischemic events on follow-up

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.
✅ 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.

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.
✅ First-pass TICI 3 recanalization was achieved.✅ Within a week, he was off the ventilator and began to recover neurologically