A 73-year-old patient from Andhra Pradesh who had multiple rare brain conditions, was successfully treated at KIMSHEALTH. The patient who sought treatment at various other hospitals but with no respite, reported at the OP with severe headache and dizziness. A Digital Subtraction Angiogram (DSA) revealed Left Middle Cerebral Artery (MCA) aneurysm, a condition where a bulge forms in the major blood vessel of the left side of the brain,  as well severe narrowing of the left carotid artery- the main vessel supplying blood to the brain. This dual condition is rare and puts the patient at a much higher risk of stroke.

To save the patient, the medical team led by Dr. Santhosh Joseph, Senior Consultant and Clinical Lead, Department of Neuro Interventional Radiology, KIMSHEALTH, first treated the narrowing of the left carotid artery, by placing a stent. A catheter was guided to the narrowed artery through a small puncture in the groin, and a stent was placed to improve blood flow to the brain.

The aneurysm was then treated using an intra-saccular flow diverter (WEB). The WEB device consists of a self-expanding titanium mesh that is placed directly inside the aneurysm to  disrupt the flow of blood to the aneurysm, while preserving normal blood flow in the parent vessel.

The presence of both aneurysm and carotid stenosis puts the patient at very high risk. Treating the blockage and preventing rupture were essential, said Dr. Joseph.

Dr. Manish Kumar Yadav, Senior Consultant, Department of Neuro Interventional Radiology, Imaging & Interventional Radiology, Dr. Madhavan Unni, Senior Consultant and Chief Coordinator, Department of Imaging and Interventional Radiology, Dr. Sarath Surendran, Department of Neuro Anesthesia, Dr. Mohammed Ajmal and Dr.Diwakar N, Department NeuroInterventional Radiology were also part of the five hour long procedure.