A pelvic AVM is no ordinary beast — this one was a Troll Multistage assault: 🔸 Balloon-occlusion with several feeding arterial liquid embo 🔸 Venous + direct access Penumbra XL coils + Lava + sclerotherapy The result? Troll slayed. ⚔️ Bulk + pain: gone at follow-ups #VIR #AVM #Innovation @SIRRFS @SIRspecialists

Jumping on the bandwagon of some of the most gratifying cases with fantastic clinical outcomes. 20+ years of filter dwell time with debilitating C6 ulcers. Strut within the aorta. @ChaudryShoeb + @iRadRock (not sure about the # 😜) #GTFO #Recan @SIRRFS @SIR_ECS

Thoracic duct embo can be a life altering procedure even in small children. 7yo with post operative chylous effusion due to thoracic duct transection. TD embo➡️Complete resolution of chylous effusion➡️chest tube out➡️patient with complete recovery. #VIRad @SIR_ECS @SIRspecialists @SIRRFS

Hypertensive urgency, previous renal artery stenosis post stent recon now with in-stent occlusion and recurrent hypertensive urgency. Pre and post laser recan. Hypertension resolved. Utterly gratifying result for the patient and team. @SIR_ECS @SIR_ECS @cvirendo @JVIRmedia

May-Thurner syndrome is a non exclusive and ?rare cause of DVT, often overlooked despite being present in 20%+ of people. Aggressive treatment strategies to restore flow is at times a necessity. #DVT #MayThurnerSyndrome #VascularHealth

Severe life limiting CLI, popliteal, TPT and prox AT/PT CTO. Ante and dual retro access, pop recan with Supera and spot AT and PT Drug eluting Esprit-BTK Bio-resorbable stent scaffold. Can't be more happy for the happy patient who said "Three times around and still no pain.!! #IYKYK (I may or may not have asked him to say that 😉) @SIRRFS @SIRspecialists@_ backtable @VIVAPhysicians #CLTI Huge thank you to Ricky Kamaria @AbbottNews for supporting the case

Lymphangiography + TDE, always one of the most satisfying procedures for the clinicians and patients alike, even when sometimes they are this tiny. Post op #chylothorax output 500+ml/day ➡️ 5 ml Day 1 POD. Chest tube out Day 3.

Covered stent assisted coiling of internal iliac artery for uretero-arterial fistula at the bifurcation of iliacs. Telescoping funnel technique for stent graft in the iliacs to prevent endoleak. #VIR #EndoVascular #EmergenciesInAngiosuite @SIRspecialists @SIRRFS @SIR_ECS

Every fracture clefts require thorough filling for effective pain relief. #SpineJack partially opened, necessitating trilateral access with curved needle to complete the filling of remaining cleft. Ensuring comprehensive fracture stabilization is crucial for adequate pain relief

3 level lumbar SpineJack in severe osteoporotic fractures. L1 nearly pancaked, retropulsed. Patient pain 9➡️3 in 4 hours. ⬆️QOL. Standing up without pain after so long. #VertebralAugmentation #Happiness #AllJackedUp Huge thank you to @sav_squatch for amazing support @TheStrykerIVS

“It’s been that kinda day..!!!” 🤩😊 Grateful for the invaluable lessons from @mmaneevese! 🌟 Delving into advanced techniques of prostate artery embolization for symptomatic BPH in a patient with prior Urolift and failed PAE in #Under45mins #ProstateHealth #PAE #VIR

Unique problems need unique solutions. Toddler w/ large post op vesico-rectal fistula. Temporary occlusion of the ureters w/ modified silicone foley placed like a PCN (size of the foley same as luminal diameter of ureters to create uniform mechanical occlusion) to give time to heal. @SIR_ECS @SIRRFS @socpedsir

Feels like getting drafted to big leagues to be part of this 🐐 VIR book by @ZHaskal and team. And to top it off, it’s an icing on a cake to be featured next to @TheRealDoctorOs in the contributor section. Must have done something right 😃 Sincere thank you to Dr. Raja Shaikh (Boston Children’s), @ZHaskal @SpringerNature