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Splenic Artery Embolization (SAE)

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Splenic Arterial Embolization (SAE) is a minimally invasive medical procedure used to address various conditions related to the spleen. Dr. Konika Chaudhary, an expert in this field, provides insights into this valuable procedure.

Procedure Overview

  1. Imaging and Assessment: SAE begins with thorough imaging to evaluate the spleen’s condition and identify issues such as ruptures, aneurysms, or vascular malformations.
  2. Catheter Placement: A slender catheter, guided by Dr. Chaudhary, is inserted through a small incision, reaching the splenic artery.
  3. Embolization: Tiny particles or coils are introduced into the splenic artery, effectively blocking blood flow to the problematic area while preserving the spleen’s overall function.

 

Indications for SAE

SAE is employed for various medical conditions, including:

  • Splenic Trauma: It can be crucial in managing spleen injuries and reducing the risk of bleeding complications.
  • Splenic Aneurysms: SAE helps prevent aneurysm rupture, a potentially life-threatening event.
  • Splenic Vascular Malformations: It can alleviate symptoms and reduce complications associated with vascular malformations.

Benefits of SAE

  • Minimally Invasive: SAE requires only small incisions, leading to quicker recovery times compared to traditional surgical options.
  • Preservation of Spleen Function: While addressing specific issues, SAE aims to maintain overall spleen function whenever possible.

Considerations

While generally safe, SAE does carry some potential risks, including infection, allergic reactions to embolic agents, unintended vessel blockages, or damage to surrounding tissues. Discuss these with Dr. Chaudhary before the procedure.

Conclusion

Splenic Arterial Embolization (SAE), in collaboration with the expertise of Dr. Konika Chaudhary, provides effective solutions for a range of spleen-related medical conditions. If you or a loved one requires SAE, consult with Dr. Chaudhary to explore its potential benefits for your specific health situation.

Carotid Angioplasty and Stenting (CAS)

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Carotid Angioplasty and Stenting (CAS) is an advanced medical procedure used to treat carotid artery stenosis, a narrowing of the carotid arteries that can lead to stroke. Dr. Konika Chaudhary, an expert in vascular interventions, provides insights into this crucial medical intervention.

Procedure Overview

  1. Imaging and Assessment : Color Doppler neck
  2. Catheter Placement: A specialized catheter, under the guidance of Dr. Chaudhary, is inserted through a small incision, navigating to the narrowed carotid artery.
  3. Angioplasty: A tiny balloon at the catheter’s tip is inflated to widen the narrowed artery, restoring blood flow.
  4. Stent Placement: A stent, a small metal mesh tube, is placed at the site of narrowing to keep the artery open.

Indications for CAS

CAS is primarily indicated for individuals with significant carotid artery stenosis, especially those at risk of stroke. It offers a less invasive alternative to traditional carotid endarterectomy surgery.

Benefits of CAS

  • Minimally Invasive
  • Stroke Prevention

Considerations

While CAS is generally considered safe, potential risks include bleeding, infection, allergic reactions to contrast dye, or the possibility of the stent becoming blocked over time. These risks should be discussed with Dr. Chaudhary before undergoing the procedure.

 

 

 

Conclusion

Carotid Angioplasty and Stenting (CAS), with the expertise of Dr. Konika Chaudhary, offers an effective and minimally invasive solution for individuals at risk of stroke due to carotid artery stenosis. If you or a loved one is considering CAS as a treatment option, consult with Dr. Chaudhary to explore its suitability and the potential benefits for your specific medical condition.

Prostatic Artery Embolization (PAE)

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Prostatic Artery Embolization (PAE) is a minimally invasive procedure designed to address benign prostatic hyperplasia (BPH), a non-cancerous enlargement of the prostate gland. Dr. Konika Chaudhary, an expert in this field, provides insights into this innovative approach.

 

Indications for PAE

PAE is primarily indicated for men experiencing bothersome urinary symptoms & erectile dysfunction due to BPH, including frequent urination, weak urine flow, or difficulty in emptying the bladder. It offers a less invasive alternative to traditional surgical options.

Procedure Overview

  1. Imaging and Evaluation: PAE begins with advanced imaging to assess the prostate’s size and the configuration of arteries supplying it.
  2. Catheter Placement: A specialized catheter, expertly guided by Dr. Chaudhary, is inserted through a small incision, precisely navigating to the prostatic arteries.
  3. Embolization: Microscopic particles or tiny coils are introduced into the prostatic arteries. This obstructs blood flow to the enlarged prostate, reducing its size and associated symptoms.

Benefits of PAE

  • Minimally Invasive
  •  Minimally Invasive
  • Discharge Next Day : Early Recovery
  • Reduced Infection Risk
  • Preservation of Sexual Functions
  • No Scar/Cuts
  • Safe

 

Splenic Artery Embolization (SAE)

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Splenic Artery Embolization (SAE) is a minimally invasive medical procedure used to address various conditions related to the spleen. Dr. Konika Chaudhary, an expert in this field, provides insights into this valuable procedure.

Indications for SAE

SAE is employed for various medical conditions, including:

  • Splenic Trauma: It can be crucial in managing spleen injuries and reducing the risk of bleeding complications.
  • Splenic Aneurysms: SAE helps prevent aneurysm rupture, a potentially life-threatening event.
  • Splenic Vascular Malformations: It can alleviate symptoms and reduce complications associated with vascular malformations.
  • Splenomegaly/Hypersplenism

Procedure Overview

  1. Imaging and Assessment: SAE begins with thorough imaging to evaluate the spleen’s condition and identify issues such as ruptures, aneurysms, or vascular malformations, Splenomegaly.
  2. Catheter Placement: A slender catheter, guided by Dr. Chaudhary, is inserted through a small incision, reaching the splenic artery.
  3. Embolization: Tiny particles or coils are introduced into the splenic artery, effectively blocking blood flow to the problematic area while preserving the spleen’s overall function.

 

Benefits of SAE

  • Minimally Invasive
  • Discharge Next Day : Early Recovery
  • Reduced Infection Risk
  • No Scar/Cuts
  • Safe

 

Bronchial Artery Embolization (BAE)

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Bronchial Artery Embolization (BAE) is a minimally invasive procedure used to control bleeding in the bronchial arteries, commonly associated with conditions like hemoptysis, aneurysms, or vascular malformations. Dr. Konika Chaudhary, a leading expert, sheds light on this vital medical intervention.

Procedure

  1. Mapping and Imaging: BAE begins with precise mapping of the bronchial arteries using advanced imaging techniques.
  2. Catheter Insertion: A thin catheter, guided by Dr. Chaudhary, is inserted through a small incision, reaching the target site.
  3. Embolization: Tiny particles or coils are injected to block bleeding vessels, with real-time monitoring.

 

 

Benefits

1. Minimally Invasive
2. Discharge Next Day : Early Recovery
3. Reduced Infection Risk
4. No Scar/Cuts
5. Safe

Thyroid Nodules

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Thyroid nodules are lumps made up of abnormal clusters of thyroid cells that form in the thyroid gland. They can be solid, fluid-filled, or a mixture of both.

What are Thyroid Nodules?
Thyroid nodules are growths of thyroid tissue or a fluid-filled cyst that forms a lump in the thyroid gland. The chances of developing nodules in the thyroid gland increase as you get older. Most thyroid nodules aren’t serious and don’t cause symptoms. However, a large nodule may cause pain or hoarseness or get in the way of swallowing or breathing.

Symptoms of Thyroid Nodules
Symptoms are not common, but a large nodule may cause pain or hoarseness or get in the way of swallowing or breathing.

Types of Thyroid Nodules
Thyroid nodules can be classified as solitary (a single nodule), multiple (more than one nodule), cystic (fluid-filled), and solid4. More than 90% of detected nodules in adults are noncancerous (benign), but they may represent thyroid cancer in approximately 4.0% to 6.5% of cases.

When to Seek Medical Attention

  1. If you have a lump in your neck that you can see or feel, hoarseness that has no known cause and does not go away, trouble swallowing, or trouble breathing, you should seek medical attention.
  2. Cosmetic Problem
  3. Hyper Function Node

Conclusion
Thyroid nodules are common and usually benign. However, they can sometimes be a sign of and/or cause thyroid disease. If you suspect you may have thyroid nodules, it is important to consult with a healthcare professional for an accurate diagnosis and appropriate treatment.

Uterine Fibroids

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Symptoms of Uterine Fibroids

The most common symptoms of uterine fibroids include

  • Heavy Menstrual Bleeding Or Painful Periods
  • Longer Or More Frequent Periods
  • Pelvic Pressure Or Pain
  • Frequent Urination Or Trouble Urinating
  • Growing Stomach Area,
  • Constipation And Pain In The Stomach Area Or Lower Back
  • Pain During Sex.

When they do, symptoms can include heavy menstrual bleeding, back pain, frequent urination and pain during sex. Small fibroids often don’t need treatment, but larger fibroids can be treated with medications or surgery.

 

Alarming Signs

 

  • See Your Doctor If You Have Pelvic Pain That Doesn’t Go Away
  • Heavy Or Painful Periods That Limit What You Can Do
  • Spotting Or Bleeding Between Periods
  • Trouble Emptying Your Bladder
  • Ongoing Tiredness And Weakness Which Can Be Symptoms Of Anemia Meaning A Low Level Of Red Blood Cells.
  • Get Medical Care Right Away If You Have Severe Bleeding From The Vagina Or Sharp Pelvic Pain That Comes On Fast.

Medical Procedure

  1. UAE   ( Uterine artery embolization )
  2. MWA ( Microwave ablation )

 

Preoptumor Embolisation for Hyper Vascular Tumors, Venous Hemangioma

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Preoperative Embolization for Hypervascular Tumors Preoperative embolization is a useful adjunctive procedure for improving surgical outcomes and reducing complications in patients with hypervascular spinal tumors. It is used to reduce intraoperative blood loss, making surgery safer.

 

 

Preoperative Tumor Embolization for Hyper Vascular Tumors and Venous Hemangioma

Preoperative tumor embolization is a medical procedure used to reduce blood flow to hyper vascular tumors, such as venous hemangiomas or other highly vascularized lesions, before surgical removal. This technique helps minimize blood loss during surgery and improve the surgical outcome.

Indications

  • Venoms Hemangioma
  • AVM (Arteriovenous Malformation)
  • AVF (Arteriovenous Fistula)
  • Renal AML (Renal Angiomyolipoma)
  • JNF (Juvenile Nasopharyngeal Angiofibroma)
  • Hepatic Hemangioma

Benefits

1. Minimally Invasive
2. Discharge Next Day : Early Recovery
3. Reduced Infection Risk
4. No Scar/Cuts
5. Safe

 

Superior Mesentric, Celiac Stenting

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1. Superior Mesenteric Artery (SMA) Stenting:

  • SMA stenting is a minimally invasive procedure in which a stent, a small mesh-like tube, is placed in the superior mesenteric artery to treat narrowings (stenoses) or blockages that can impede blood flow to the intestines.
  • Indications: SMA stenting is commonly used to treat conditions like chronic mesenteric ischemia, which occurs when there is reduced blood flow to the intestines due to narrowed or blocked arteries. This condition can lead to severe abdominal pain after eating (intestinal angina) and can result from atherosclerosis or other vascular diseases.
  • Procedure: During the procedure, a catheter is threaded through a small incision, often in the groin, and advanced into the SMA under fluoroscopic guidance. The stent is then deployed at the site of the blockage to restore normal blood flow.

 

2. Celiac Artery Stenting:

  • Celiac artery stenting is a similar procedure to SMA stenting, but it involves the celiac artery, which supplies blood to the stomach, liver, spleen, and upper part of the intestines. Like SMA stenting, celiac artery stenting is used to treat stenoses or blockages in the celiac artery.
  • Indications: Celiac artery stenting is often performed to treat conditions like chronic mesenteric ischemia that affect the blood supply to the abdominal organs, leading to symptoms such as abdominal pain, weight loss, and digestive issues.
  • Procedure: The procedure is carried out similarly to SMA stenting, with a catheter inserted through an incision, usually in the groin, and advanced into the celiac artery. The stent is placed at the site of the blockage to restore proper blood flow.

Benefits of Stenting:

  • Stenting these arteries can effectively open narrowed or blocked vessels, improving blood flow to the abdominal organs and alleviating symptoms associated with reduced perfusion.

Considerations:

  • Stenting is a minimally invasive alternative to surgical revascularization procedures, which are more invasive and may require longer recovery times.
  • The choice between SMA or celiac artery stenting depends on the specific vascular condition and the location of the blockage.

 

Permacath or Dialysis Fistula Salvage

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For patients suffering from kidney failure, undergoing dialysis is a lifeline that ensures the removal of waste and excess fluids from their bodies. To facilitate this crucial medical procedure, a specialized catheter known as Permacath, or Permanent Dialysis Catheter, is often recommended. Permacath is a unique solution for patients whose veins are exhausted or unsuitable for AV fistula creation, as it offers several advantages over other dialysis access methods. In this article, we will delve into the benefits of Permacath and provide insights from Dr. Konika,Renowned interventional radiologist, about its placement and care.

 

 

The Advantages of Permacath

  1. Reduced Risk of Infection

Dr. Konika emphasizes that one of the primary advantages of Permacath is its reduced risk of infection. Unlike other dialysis access methods, Permacath remains concealed below the skin. This design minimizes the exposure of the catheter to external contaminants, lowering the chances of infection significantly. Patients can go about their daily routines without the constant worry of infection.

  1. Lower Risk of Blockage

Dr. Konika further highlights that Permacath’s unique design also contributes to a lower risk of blockage. When veins are exhausted or unsuitable for AV fistula creation, patients often encounter issues with dialysis access, such as blockages in the catheter. Permacath, however, is less prone to these problems, ensuring a smoother and more reliable dialysis process.

  1. Comfortable Neck Movements

Patients with Permacath, as Dr. Konika notes, can enjoy a more comfortable range of neck movements compared to other dialysis access methods. Since the catheter is discreetly placed under the skin, it doesn’t impede neck mobility. This added comfort can significantly improve the overall quality of life for individuals undergoing dialysis.

  1. Concealed and Discreet

Dr. Konika emphasizes the importance of Permacath’s placement under the skin, ensuring it remains concealed and discreet. Unlike external catheters that are visible to others, Permacath is hidden, allowing patients to maintain their privacy and self-esteem. It can be covered by clothing, making it virtually invisible to those around them.

Permacath Placement

When asked about Permacath placement, Dr. Konika provides the following essential information about the procedure:

  • When do you need Permacath placement? Permacath is typically recommended when all veins are exhausted or not suitable for creating a new AV fistula. Dr. Konika mentions that your vascular surgeon or nephrologist may suggest this option after a thorough evaluation of your medical condition.
  • How long does the procedure take, and when can you be discharged? Dr. Konika explains that Permacath placement is a relatively quick procedure, taking only about 15 minutes. After the procedure, patients can be discharged within an hour, making it a convenient and minimally disruptive option.
  • When can dialysis be started with Permacath? Dr. Konika highlights the convenience of Permacath, as dialysis can begin immediately after placement. This allows for a seamless transition to the dialysis process without unnecessary delays or complications.
  • How to prevent blockage in Permacath? Dr. Konika emphasizes the importance of regular maintenance and instructs that caregivers must flush the catheter with heparin saline or cathflush after each use. This practice is key to ensuring the longevity and effectiveness of the Permacath.