Cirrhotic patient with fundal varices and large PSS prior endoscopic flue injection now presented with massive upper GI bleed. Hb 6. Shunt occlusion with Double plugs - no further bleeds # Pinhole treatment for upper GI bleed @ISVIRIndia@No_cut_surgery@keithppereira@SRajesh_IR
Case 2 : Elderly with solitary cancer in right lobe of liver with subcapsular extension - microwave ablation - complete response on follow up. #interventional oncology #pinhole#irad@ajgunnmd
Managing cancer-related diseases through pinhole Case1 Middle aged man with abdominal pain & wt. loss under evaluation. CT abdomen - small bowel circumferential short segment wall thickening. Image guided biopsy HPE:poorly differentiated malignant neoplasm @bhavinj@DrAjityadav
@keithppereira@SRajesh_IR Thank u ๐. I know its bit deep, but it was an emergency sir. I had only single length uncovered stent in stock plus he was not a transplant candidate.
Cirrhotic with 6 th episode of bleeding on repeated endoscopic treatment. As bleeding was not getting controlled on endoscopic therapy, TIPS procedure was done as salvage treatment. Patient extubated on next day of procedure ๐ - Believers hospital
@SRajesh_IR@keithppereira
31 yr old lady presented with snoring during sleeping with lump in the floor of mouth and was diagnosed to be case of low flow vascular malformation (~3 cm) on MRI. Underwent 3 sessions of Intralesional Bleomycin Sclerotherapy and on follow up has complete clinical improvement:)
@RajivSharmaDr2@SRajesh_IR@DrAjityadav@ISVIRIndia@satheesh_ir Hi, I would b more than happy to share with u :) used only vascular plug with no gelfoam - it was a large shunt - used the largest available Amplatzer plug (22 mm) as there was a neck towards the efferent drainage site. 9 F long sheath with C2 catheter to cannulate the shunt
Incidentally detected large varix about 4 cm size, size of a small lemon. PARTO done as primary prophylaxis gastric variceal bleeding CECT today after 4 week: shunt completely obliterated, portal vein size improved, no ascites:) @SRajesh_IR@DrAjityadav@ISVIRIndia@satheesh_ir
Single-session thrombectomy and bifurcated stent reconstruction of splenoportal axis for chronic splanchnic venous thrombosis, bowel ischemia and variceal hemorrhage.
With @somubetageri
@drabbyphilips @ISVIRIndia
73 yr old male with hematuria & obstructive uropathy. Anuria at the time of IR referral - bilateral nephrostomy followed by antegrade ureteric stenting. Came for follow up after 2 weeks - bladder output daily ~ 2 litres :) Not a very complex case, but a rewarding one @ISVIRIndia