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Interventional neuro-radiologist seals AVM in brain

Special Correspondent
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Abdul, who underwent non-surgical treatment for brain arterio venous malformation (AVM) at Aayush hospitals in Vijayawada on Thursday.Photo. Ch. Vijaya Bhaskar
Abdul, who underwent non-surgical treatment for brain arterio venous malformation (AVM) at Aayush hospitals in Vijayawada on Thursday.Photo. Ch. Vijaya Bhaskar

A team of doctors lead by interventional neuro-radiologist Lakshmi Prasanna sealed a life-threatening brain arterio-venous malformation (AVM) by ‘embolizing’ (sealing) the blood vessels with a liquid non-reactive glue reportedly for the first time in these parts of the State at Aayush Hospital.

The Aayush Hospital in Vijayawada has a full-fledged interventional neuro-radiology department.

According to Dr. Lakshmi 15-year-old Abdul was brought to the hospital after an episode of fits. Imaging of the brain showed a complex AVM in the posterior part of the brain.

The AVMs wherever they occur in the body have the tendency to bleed. Bleeding in the brain causes stroke (paralysis) and death. The larger the AVM the greater is the risk to the patient.

Depending on the size, the brain AVMs are treated either by conventional surgery or using non-invasive treatment.

“The morbidity of conventional surgery is 20 per cent and in non-invasive method it is five per cent,” Dr. Lakshmi said. Abdul, who is doing his tenth standard, can go back to his studies without any problem, she said.

The AVM was reached with a micro catheter and ONYX, a liquid embolic agent, was injected into the AVM. Aayush Hospitals Managing Director and Chief Cardiologist K. Gopala Krishna said that all the complex blood vessel diseases of the brain could now be treated without open brain surgery. Other advanced neuro-interventions like intra-arterial lytic therapy for acute brain stroke, carotid angioplasty and the administration of coils for intra-cerebral aneurysms and arterial fistulas were also being performed at the hospital, he said.


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