- 234
- 449 312
Agrim Stroke & Neurointervention
Registrace 16. 02. 2015
Dr Vipul Gupta is one of the most experienced and reputed neurointerventionist in the country.
Neurointervention (Interventional Neuroradiology) is a medical specialty in which minimally invasive diagnostic and intervention procedures for cerebrovascular disorders are performed under radiological guidance. It is somewhat similar to the treatment carried out in the heart by cardiologists, such as angioplasty or stent placement.
Neurointerventions play a crucial role in diagnosis and management of brain aneurysms, stenosis of arteries such as carotid arteries, arteriovenous malformations, acute ischemic stroke.
. This field also known as endovascular Neurosurgery or Interventional Neurology.
Neurointervention (Interventional Neuroradiology) is a medical specialty in which minimally invasive diagnostic and intervention procedures for cerebrovascular disorders are performed under radiological guidance. It is somewhat similar to the treatment carried out in the heart by cardiologists, such as angioplasty or stent placement.
Neurointerventions play a crucial role in diagnosis and management of brain aneurysms, stenosis of arteries such as carotid arteries, arteriovenous malformations, acute ischemic stroke.
. This field also known as endovascular Neurosurgery or Interventional Neurology.
Balloon assisted coiling - Old technique, nuances to achieve complete occlusion
One of our first few cases was done at Paras Hospital, Gurgaon. Acutely ruptured left MCA bifurcation aneurysm with a bulge of the aneurysm involving the MCA division. We used a standard Balloon assisted coiling technique. Using the right size of the coil and microcatheter manipulation, we could get a few coil loops into this aneurysmal bulge involving the bifurcation. Microcatheter reshaping and repositioning helped to achieve complete occlusion of the aneurysm. Old technique…. the nuances which help in complete reconstruction.
#Neurosurgery #MedicalInnovation #HealthCare #ParasHospital #BalloonAssistedCoiling #Microcatheter ##AneurysmTreatment #NeuroIntervention #PatientCare #MCAAneurysm #HealthcareInnovation
#Neurosurgery #MedicalInnovation #HealthCare #ParasHospital #BalloonAssistedCoiling #Microcatheter ##AneurysmTreatment #NeuroIntervention #PatientCare #MCAAneurysm #HealthcareInnovation
zhlédnutí: 58
Video
Managing Complex ACOM Aneurysm: Stent-Coiling, Thrombosis, and Spasm Challenges
zhlédnutí 147Před měsícem
When we don’t understand ?? This patient with ACOM aneurysm treated with stent-assisted coiling had unusual thrombotic and spasm issues. She had a very broad-based ACOM aneurysm with a multi-lobulated sac. So, we planned for a braided stent and coil. Post procedure a clot in the ACOM region and a long segment clot lying within the A2 and A3 ACAs on the right were noted. This was despite complet...
Patient had a direct CCF with extensive cortical venous drainage.
zhlédnutí 115Před 2 měsíci
This patient had a direct CCF with extensive cortical venous drainage. It can be quite challenging to occlude the multiple cortical venous outlets. We used multiple catheters to catheterise different sacs. Coils followed by Onyx with balloon inflation were used to achieve complete occlusion. Onyx can percolate between the coils and into the outflow channels to achieve occlusion. #CCF #CorticalV...
Rates of restenosis after CAS is uncommon about 5% at one year
zhlédnutí 132Před 2 měsíci
This middle-aged lady with RA had Stenting for symptomatic right ICA stenosis. She presented 4 months later with recurrent left-sided symptoms and DSA revealed significant stenosis with irregular margins. Despite tirofiban infusion followed by Clexane patient still had recurrent symptoms. We planned for a drug-eluting balloon angioplasty followed by stenting. Post angioplasty a C guard stent to...
Middle-aged male with progressive paraparesis with a diagnosis of LETM. .
zhlédnutí 100Před 2 měsíci
This middle-aged male with progressive paraparesis for many months was transferred to our centre with a diagnosis of LETM. His symptoms worsened post IV-MP. Unless thin cuts are taken a T2 sagittal spine MRI can miss flow voids. Spinal angio showed dural AVF with supply from two feeders. The distal feeder origin was at an acute angle with narrowing at the origin. To arrest the competitive flow,...
An interesting case of intracranial stenosis in a young patient
zhlédnutí 135Před 2 měsíci
An interesting case of intracranial stenosis in a young patient. Sadly, we are seeing many young patients presenting at a pretty young age with atherosclerotic stenosis. This was one such patient having recurrent TIA with severe intracranial stenosis. In this case, as soon as we placed the guiding catheter, we saw clot formation beyond the stenosis. Initial doubt was whether it was an air bubbl...
A case of recanalised left MCA bifurcation Aneurysm - Contour strategy
zhlédnutí 122Před 3 měsíci
This patient was treated 7 years back, had a small neck at one year, but never came back for follow-up. Now the residual had enlarged which shows the importance of follow-up. Definitive management of such broad neck recurrence can be challenging. We did think about stent-assisted calling, but it could be a challenge to protect the neck based on superior division. We had thought about a hybrid t...
Dural AVF presenting with Subdural bleed:
zhlédnutí 121Před 4 měsíci
Middle-aged man presented with SDH with mass effect. CT showed an increasing midline shift. DSA demonstrated tentorial Dural AVF. Embolization followed by surgery was done. “Key” to cure is to achieve a close microcatheter position. As the video shows, despite the tortuos kinked feeder, we managed to do so! To me, partial closure of Dural AvF is to be avoided at all costs, as it complicates fut...
🚨🧠 Stroke Alert! 🚨 Meet our ER’s record-breaking case
zhlédnutí 123Před 4 měsíci
36/M rushed in with left-sided weakness, slurry speech, and facial deviation. Thanks to our swift stroke protocol, thrombolysis happened in just 41 mins! But hold on, a twist: despite negative results from DSA, further sleuthing unveiled the culprit-active marijuana use linked to RCVS! 🌿 Stay informed, stay safe! #StrokeAwareness #MedicalMysteries #ERHeroes 💪
CME on neurovascular and stroke cases
zhlédnutí 43Před 4 měsíci
Last night’s CME on neurovascular and stroke cases sparked engaging discussions and insightful queries from fellow doctors. A truly interactive and fruitful session, diving deep into stroke intervention and management along with real-life cases. Agrim Neurocare #medicaleducation #neurology #strokecare
Distinguishing between the symptoms of heart attacks and brain strokes.
zhlédnutí 74Před 5 měsíci
In light of the recent news about the actor Mithun Chakraborty's brain stroke, it's become increasingly clear that there's a vital need for greater awareness about early stroke detection within our communities. Despite widespread knowledge, confusion persists in distinguishing between the symptoms of heart attacks and brain strokes. I am delighted to be interviewed by News Channel "Aaj Tak" to ...
MCA Aneurysm Treatment: Stent-Assisted Coiling Technique
zhlédnutí 986Před 5 měsíci
MCA Aneurysm Treatment: Stent-Assisted Coiling Technique
Treatment of Vertebral Artery Stenosis: Radial Approach
zhlédnutí 438Před 5 měsíci
Treatment of Vertebral Artery Stenosis: Radial Approach
Challenging case of ACOM blister-like aneurysm with severe vasospasm
zhlédnutí 145Před 6 měsíci
Challenging case of ACOM blister-like aneurysm with severe vasospasm
Challenging Reconstruction of dissecting aneurysm with severe stenosis
zhlédnutí 181Před 6 měsíci
Challenging Reconstruction of dissecting aneurysm with severe stenosis
High flow vertebro-venous causing compressive myelopathy
zhlédnutí 142Před 7 měsíci
High flow vertebro-venous causing compressive myelopathy
High-flow fistulas treatment using onyx/squid
zhlédnutí 163Před 7 měsíci
High-flow fistulas treatment using onyx/squid
Navigating the tricky terrain of acutely ruptured large broad-neck ACOM aneurysms
zhlédnutí 149Před 7 měsíci
Navigating the tricky terrain of acutely ruptured large broad-neck ACOM aneurysms
Unlocking the Mysteries of Large Vessel Occlusion: Innovative Triple Strategy for Rapid Resolution
zhlédnutí 250Před 8 měsíci
Unlocking the Mysteries of Large Vessel Occlusion: Innovative Triple Strategy for Rapid Resolution
Breathe at Your Own Risk: Exploring the Neurological Impact of Pollution
zhlédnutí 76Před 8 měsíci
Breathe at Your Own Risk: Exploring the Neurological Impact of Pollution
Patient with right ICA with small infarcts
zhlédnutí 317Před 8 měsíci
Patient with right ICA with small infarcts
Patient with acutely ruptured trilobulated aneurysm
zhlédnutí 143Před 8 měsíci
Patient with acutely ruptured trilobulated aneurysm
“Golden Hour” concept: World Stroke Day
zhlédnutí 150Před 9 měsíci
“Golden Hour” concept: World Stroke Day
World Stroke Day-Stroke Awareness (FAST)
zhlédnutí 137Před 9 měsíci
World Stroke Day-Stroke Awareness (FAST)
Aneurysm case planned for a flow diverter
zhlédnutí 297Před 9 měsíci
Aneurysm case planned for a flow diverter
Patient with a small ruptured ACOM aneurysm
zhlédnutí 345Před 9 měsíci
Patient with a small ruptured ACOM aneurysm
Acute stroke case with tortuous anatomy
zhlédnutí 165Před 10 měsíci
Acute stroke case with tortuous anatomy
Artemis Agrim Stroke Unit awarded “Diamond status” by WSO
zhlédnutí 110Před 10 měsíci
Artemis Agrim Stroke Unit awarded “Diamond status” by WSO
Left ICA stenosis following stenting developed aphasia
zhlédnutí 386Před 10 měsíci
Left ICA stenosis following stenting developed aphasia
How to treat asymptomatic web?
Opretion cost ??
MAJOR CORRECTION before the balloon is expanded, we need to place a filter or protection mesh in the artery and ONLY THEN perform angioplasty.
Thank you doctor and God bless you!
Amazing
After embolization of AVM, is there no risk from AVM in later life?
🎉
Doctor name and address
Sir I wanted to contact you regarding Takayasu arteritis
Sir case of Takayasu arteritis, left common carotid artery block by 90%, I want to consult you sir
Please koi risk tu ni ic my banda chal lyra hy ic ky bad
Sir, my mother also advice angioplasty
Please sent address the hospital, sir
I have a 90% left vertebral block in my neck. What is the best doctor to have this procedure done, if possible?
A very good one. If you are in the US, Cedar Sinai in LA has a great team. I have 62% block and my doctor in TX said the block is too high for surgery. Cedar Sinai has performed many surgeries . Good luck to you and may you live a long and blessed life.
How are you doing .. did you find a good place to have this looked at?…I have Severe stenosis by calcium of V4
@@beachgal2023we’re is your blockage/ stenosis? Mine is at V4..I talk with the doc on Monday …
My aneurysm po ang apo k s ulo nya ano po ba dapat gawin sn po matulongan myo km slmat po
Dr Vipul Gupta you are the reason I'm alive, last year 6/8/2023 you bring happiness inside of me, I'm ok from Aneurysm 🙏
Thank you for the warm words and best wishes
Hello Dr, I am Uttam from MAURITIUS Can i have your professional or personal mail id and or your mobile id Hope you dont mind, Awaiting yours Thanks and regards
I have no pictures but the report said 87% and 86% respectively. I've been sick a while. Hard to believe "they" never noticed
Sir, This is Akram Hossain,RFL Group at Bangladesh. My younger son's (14 months) suffering this disease.i want to come india.could you please share your WhatsApp number and your address?
You should go to PGI chandigarh.i also had that problem earlier . But I am fine now
how many cost sir 2024
Local? Hell no!
Plz guide me what to do now
Sir plz,send ur contact number or hospital name and city...i m from kolhapur maharashtra my pappa 65yr old with both carotid arteries plaque /block with might be 80-90%....one (Lt.) side End Arterioctomy one yr ago, now start the same problem cramps in legs , after m.r.i. again their is plaque at the site of end artrectomy and another side their also 90% block...what to do now...k/c/HT and Dm
Hi ! Pls connect with us on 981033324 - Artemis Hospital
Well Explained
Iske bad kya MRI kar skte h ?
My mother dead during procedure in Pakistan, due to leaking of blood😢
Thank you for your valuable advice on catrotid blockage ! My Doppler test diagnosed as 83 percent of blokage on left side. Doctor advised for angioplasty soon possible ! Can it be treated with medicine only ? Also is it possible to get your consultation on line ? Regards, Satish Bhardwaj, New Delhi
"More arteries recruited only when collateral is not adequate" I don't understand why having too much collateral is bad. Can you share a publication that discusses this issue?
Dr name ??
Dr Vipul Gupta- Artemis Hospitals
Flow diverter ma aneurysm katna time ma khatam hota hy?
Katna time ma ya beth jata hy.
Ya katna time ma hota hy completed band?
My mother can't have a cooling method that another vein is going under the aneurysm Vein will be effect after coiling and doctor suggest cliping method but we are afraid of the clipping, what we do now?
My mom will go through this procedure and I am thankful that I found your video so I can fully understand what is going to go happen to my mom during the procedure. God bless.
Sir this problem was completely cure
Sir my rt ica is completely block. Mere ko 5 mahine pehle heart mein 3 stunt bhi lage. Mein kiya kahu. Mein delhi ke pass rehta hun.
What about your situation now?
As a preventive Health check up which test do u suggest to rule out any disease.. Recently we had angioplasty of heart 6 months back.. I feel there could be more colestrol blocks/deposits in different parts of the body
Sir Avm embolization hone ke baad kya usme scare ate hai jisse sparking hoti hai usme se...jisse halke halke epilepsy mehsoos hoti hai
My right caroted artery complete block.
Abdullah
Abdullah
what a dumbass intervention made for a great practice in private. imagine what happens to u if you go for a run and the coil exits the aneurysm and blocks the artery lol
76hhcjgkhvhgikg Phck
I had a coiling put in June 16th this year is there supposed to be any discomfort in the neck area. Being since I had Aneurysm I can’t drive a commercial truck for a year
How can we contact with that doctor
Excellent break down
To me this is science fiction.
Thank you for posting. My bilateral carotid artery stenosis was just confirmed but I don’t know to what extent. Keep making great videos⭐️⭐️⭐️⭐️⭐️⭐️
Thanks. Hope you get well soon….
Hi. I see this case with interest. I have done a few cases of carotid stenting using direct carotid puncture
Can’t understand a word he’s saying