shailesh gupta

Always ready for innovation

[shailesh gupta @IR_innovation]

@elonmusk Congrats...
Now If Tesla doesn't become most valuable company, @BillGates will be your 1st neighbour there.

[Rajesh Sasidharan @SRajesh_IR]

@liverserjun @shobhit_IR @theliverdoc @ISVIRIndia @SudheerPargewar @ganeshd_VIR @No_cut_surgery @IR_innovation @dralokudiya @TomG_IR @uditchauhan__dr @iRadBIR_Chennai 5 month follow up of this patient.

Pain completely gone. Imaging shows resolution of epidural varices. Stent patent.

[Rajesh Sasidharan @SRajesh_IR]

Importance of completion venogram from splenic hilum.

42y/M, CLD, EV and GOV2, refractory variceal bleed, for rescue TIPS.

Supply from LGV, PGV, SGV.

LGV glued. Angio from SMV clean.

Completion run from SV showed persistence of PGV and SGV. Both glued.

Proximity theory ❤

[Rajesh Sasidharan @SRajesh_IR]

Chronic non-cirrhotic portal vein thrombosis with refractory esophageal variceal bleeding.

Misdiagnosed as Budd Chiari syndrome elsewhere and accessory hepatic vein stented.

USG-guided portal puncture and PVR-TIPS with @SudheerPargewar

[Somsharan @somubetageri]

Entire SP axis acute thromosis. TIPS recanalisation

[Somsharan @somubetageri]

Too unfortunate and rare event post CT guided lung mass biopsy

[ISRO @isro]

Chandrayaan-3 Mission:
'India🇮🇳,
I reached my destination
and you too!'
: Chandrayaan-3

Chandrayaan-3 has successfully
soft-landed on the moon 🌖!.

Congratulations, India🇮🇳!

#Chandrayaan_3
#Ch3

[Rajesh Sasidharan @SRajesh_IR]

Extended TIPS for Budd Chiari syndrome with portal cavernoma.

Patent intrahepatic branches of PV accessed through fibrosed right hepatic vein from jugular approach.

With @shobhit_IR

@theliverdoc @ISVIRIndia

[Rajesh Sasidharan @SRajesh_IR]

Segmental hepatic vein stenting post LDLT

Thrombosis of segment 8 vein on POD 16 manifesting as ⬆️ drain output and ⬆️ liver enzymes.

Difficult cannulation due to acute angle. Entered with support of stiffening cannula from RUPS. Balloon mounted stent used for precise placement

[Rajesh Sasidharan @SRajesh_IR]

Epidural varices due to Budd Chairi Syndrome.

14 y/F, progressively increasing back pain, radiculopathy and lower extremity numbness.

IVC stenosis wid engorged epidural veins. HVs occluded. Liver draining via collaterals.

Stented. Follow-up awaited🤞

@shobhit_IR @theliverdoc

[Dr Saurabh kumar Interventional radiologist @docsaurabhIR]

Biodegradable biliary stent ...
Reality or myth
Excellent result in post Ldlt anastamotic stricture..first hands-on experience...@ISVIRIndia @fortis_hospital

[Rajesh Sasidharan @SRajesh_IR]

Cholecystoduodenal stenting.

76y/M, multiple comorbidities. CBD & GB calculi with empyema.

Failed transpapillary cannulation of cystic duct.

Percutaneous placement of 7F double pigtail stent thru GB into duodenum.

With @shobhit_IR & ever-helpful endoscopy techie @VishnuuuzZ

[Somsharan @somubetageri]

Avoiding the anterior dilated HA branch while accessing the PV.

[Somsharan @somubetageri]

Multiple myeloma with spontaneous floating aortic thrombus at two levels. One occluding the celiac trunk. Post Thrombectomy

[Rajesh Sasidharan @SRajesh_IR]

Sharp recanalisation of TIPS by percutaneous transhepatic route

Chronically occluded TIPS. Failed standard recanalisation despite using stiffening-cannula assisted approach.

Back end of radifocus wire used to break the hepatic venous end of thrombus 'cap' by transhepatic route.

[Rajesh Sasidharan @SRajesh_IR]

Strut plasty and TIPS through previously placed IVC stent - with @shobhit_IR

Middle aged male, Chronic Budd-Chiari syndrome, Refractory ascites.

Native hepatic veins thrombosed and not salvageable. No dominant veno-venous collateral.

@theliverdoc @ISVIRIndia @No_cut_surgery

[Rajesh Sasidharan @SRajesh_IR]

Collateral vein web plasty with @SudheerPargewar

Middle-aged female, Chronic Budd-Chiari syndrome, Recurrent ascites.

Fibrosed MHV, LHV and RHV ostium. RHV draining through a large collateral with a web at the collateral vein-IVC junction.

@ISVIRIndia @No_cut_surgery

[Rajesh Sasidharan @SRajesh_IR]

Single session hepatic vein stenting and IVC plasty with @SudheerPargewar

Young male, Chronic Budd-Chiari Syndrome, Refractory ascites.

Obliterated right and middle hepatic veins. Ostial narrowing of left hepatic vein. Long segment IVC thrombus.

@ISVIRIndia
@No_cut_surgery

[Salvador Pedraza @salvasapedraza]

Transuterine Ultrasound-Guided Fetal Embolization of Vein of Galen Malformation, Eliminating Postnatal Pathophysiology https://t.co/8aPhKGxmqA

[Interventional Radiology BIR, RGGGH@Chennai @iRadBIR_Chennai]

Combined trans-arterial and percutaneous #chemoembolization of Symptomatic giant Hepatic #hemangioma.

#iRad #MedTwitter
@thegestgroup @SRajesh_IR @UdayIrad @karananandpara @Murthy_CS_ @ChengaziMD @SIRRFS @PulkitRangarh @keithppereira @_backtable @No_cut_surgery @linemonkeymd