Dr. Nishanth Gopal

MBBS, DMRD, DNB, FRCR, DM
Consultant Interventional Radiologist with Crazy interest in latest technologies! #iRad

[Interventional Radiology BIR, RGGGH@Chennai @iRadBIR_Chennai]

Ca retromandibular trigone>Massive per oral bleed>IMA blowout>#justglueit #irad #MedTwitter @ISVIRIndia @cirsesociety @SIRspecialists @karananandpara @PulkitRangarh @Murthy_CS_ @ChengaziMD @DrAjityadav @keithppereira

[Interventional Radiology BIR, RGGGH@Chennai @iRadBIR_Chennai]

#Flow_diverter assisted #coiling for a case of dissecting ICA #aneurysm in 17M with ptosis.
#iRad #MedTwitter

@ISVIRIndia @PouriaMoshayedi @daigaole @Mjoshiindia @hari_the_IR @vimalchackomdy @GuenegoAdrien @drgauravgangwni @karananandpara @zafarhashim_INR @SharathKumarGG7

[Dr. Nishanth Gopal @iRadNishanth]

@lenonjdee @keithppereira @ISVIRIndia @iRadBIR_Chennai @karananandpara @SRajesh_IR @iRadRock @SIRspecialists @cirsesociety Nicely done.

Did you use Chiba needle through TIPS metal cannula or manually bending the Chiba needle to get the required curvature?

If ascites could be drained (under Albumin cover), Percutaneous Transhepatic would be possible as stent is easier to visualise under USG.

[Dr. Nishanth Gopal @iRadNishanth]

@iRadRock @ankitbusy @aiims_rbl @PMOIndia @CMOfficeUP Coils are not preferred among #IRad community for #BAE in view of difficulty in future embolizations for recurrence (10-50%). Usually multiple small feeders are best embolized with graded particles.

What do you think? @IRvaranasi @docanshuljain @aswinforIR

[Interventional Radiology BIR, RGGGH@Chennai @iRadBIR_Chennai]

#Hemoptysis in a Cyanotic #CHD. #MAPCA #Embolization - Don't go too aggressive!

#iRad #MedTwitter
@ISVIRIndia @Murthy_CS_ @ChengaziMD @iRadRock @karananandpara @keithppereira @DHidlayVIR @TheRealDoctorOs @vimalchackomdy @rengadr @DrSaritaRao2 @DrDeepakKrishn1 @Mjoshiindia

[Eran Shlomovitz @EShlomovitz]

Our pilot study on Percutaneous Cholecysto-Enteric Anastomosis (PCEA) in high risk patients now available from @JVIRmedia - 🧵.

https://t.co/yD1Lf5dZ3x

Background: Lumen apposing metal stents (LAMS) have revolutionized endoscopy but not often used in Interventional Radiology.

[Interventional Radiology BIR, RGGGH@Chennai @iRadBIR_Chennai]

Transhepatic Tunneled Dialysis Catheter - safe & lifesaving alternative access in cases of #CKD with multiple access failure.
#iRad #MedTwitter
@ISVIRIndia @ChengaziMD @MMCNephro @Murthy_CS_ @_backtable @karananandpara @iRadRock @linemonkeymd @DHidlayVIR @TheRealDoctorOs

[Lea Alhilali, MD @teachplaygrub]

1/”You want me to put my needle where??” my fellow asked incredulously. It’s daunting, but it works—image-guided sphenopalatine ganglion blocks
Here’s a #tweetorial about this underutilized but effective procedure! #medtwitter #neurology #headache #migraine #neurotwitter #FOAMed

[Interventional Radiology BIR, RGGGH@Chennai @iRadBIR_Chennai]

1/2 #Transradial Renal #Angioplasty in a c/o resistant renovascular #hypertension
#MedTwitter #irad
@ISVIRIndia @keithppereira @ChengaziMD @Murthy_CS_ @karananandpara @drochohan @SIRRFS @PulkitRangarh @UdayIrad @kmadass @DrDeepakKrishn1 @saherssabri @TheRealDoctorOs @DHidlayVIR

[Atabak Allaei, M.D. @AllaeiMD]

#Thyroid artery #embolization via radial access for thyroid #goiter. No surgery. No sutures. Outpatient. Fast recovery. Non-surgical treatment alternative to #thyroidectomy. #ent #thyroidsurgery #medicine #health #hypothyroid #irad @SIRspecialists @SIRRFS @SIR_ECS

[Dr. Dai @daigaole]

Technical Video: Endovascular therapy for Carotid chronic total occlusion by TRA approach under local anesthesia.

[Interventional Radiology BIR, RGGGH@Chennai @iRadBIR_Chennai]

#Sharp_recanalization & #stenting in a c/o recurrent complete occlusion of IVC (Angioplasty done twice) in Chr #BCS.

Ur hardware of choice for sharp recan?

#iRad #MedTwitter
@SRajesh_IR @UdayIrad @iRadRock @ChengaziMD @Murthy_CS_ @PulkitRangarh @_backtable @linemonkeymd

[Interventional Radiology BIR, RGGGH@Chennai @iRadBIR_Chennai]

RTA, Splenectomy S/P Pigtail drainage for post-Op collection. Now frank bleed thru pigtail.
Transradial IMA PSA embolization!
#iRad #MedTwitter
@isvirindia @karananandpara @PulkitRangarh @keithppereira @ChengaziMD @Murthy_CS_ @lenonjdee @MRAkid @SIRRFS @iRadRock @drgauravgangwni

[Interventional Radiology BIR, RGGGH@Chennai @iRadBIR_Chennai]

Splenic artery #pseudoaneurysm #embolization in a c/o Panc ca & splenic abscess

#iRad #MedTwitter
@ISVIRIndia @DHidlayVIR @No_cut_surgery @karananandpara @SRajesh_IR @ChengaziMD @drochohan @keithppereira @Murthy_CS_ @DrAjityadav @_backtable @UdayIrad @NorthwesternIR @iradrock

[Interventional Radiology BIR, RGGGH@Chennai @iRadBIR_Chennai]

Massive #hemoptysis secondary to #Rasmussen's aneurysm in #TB ravaged lung. #Glue_embolization done!

#iRad #MedTwitter
@iRadRock @DHidlayVIR @drochohan @ChengaziMD @Murthy_CS_ @XRAYvivek @SIRRFS @cirsesociety @karananandpara @_backtable @keithppereira @SriniTummala @DrAjityadav

[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

[Interventional Radiology BIR, RGGGH@Chennai @iRadBIR_Chennai]

Midnight emergency #embolization requested in this 49M c/o Ca anorectum s/p APR (POD7) for bleeding from perineum & hypotension. Pt stable post #Coils embo.
#iRad #MedTwitter
@ISVIRIndia @karananandpara @smbracewell @ChengaziMD @Murthy_CS_ @keithppereira @XRAYvivek @UdayIrad

[Interventional Radiology BIR, RGGGH@Chennai @iRadBIR_Chennai]

Bleeding Umbilical #Varices with ulceration in a case of #CLD with #PortalHypertension.

Referred for TIPSS.

#iRad #MedTwitter
@SRajesh_IR @karananandpara @UdayIrad @ChengaziMD @Murthy_CS_ @t_intheleadcoat @PulkitRangarh @theliverdoc @ISVIRIndia @SIRRFS @DrLakhtakia @XRAYvivek

[Interventional Radiology BIR, RGGGH@Chennai @iRadBIR_Chennai]

Percut. transhepatic #recanalization of Rt Hep vein in a Chr #BCS. #Stenting after 3 days in view of restenosis.
#iRad #MedTwitter

Primary vs Secondary stenting - Opinion
@ISVIRIndia @SRajesh_IR @karananandpara @PulkitRangarh @ShyamKeshava @ChengaziMD @Murthy_CS_ @santhosh_IR

[Interventional Radiology BIR, RGGGH@Chennai @iRadBIR_Chennai]

(2/2) Need suggestions in this case (post Rt CCF Embolization), for embolization of left direct CCF.
1. Parent artery occlusion
2. Preservation of Lt ICA (like Rt side) 🤑💰
@SIRspecialists @ISVIRIndia @drgauravgoel27 @drkarthi001 @doctorvivekg @RealRajkamal @drbhaskarmv1