. KATHMANDU: The Kathmandu Medical College (KMC) has successfully treated a 67-year-old brain vessel disease with neurointervention technology without dissecting the brain AVM.
According to doctors, this is the first time in Nepal that a ruptured AVM has been successfully treated at the age of 67. Hari Prasad Kandel, 67, was already suffering from chronic liver disease.
One day, while going to the toilet, he suddenly fainted and the family immediately took him to the emergency ward of Kathmandu Medical College.
He had been unconscious for about three hours and a quick CT scan showed a large hemorrhage (hematoma) in an abnormal place of the brain.
Since the location of the bleeding was not normal, further tests were done to determine the exact cause.
After that, neurointervention specialist Dr. Shyam Prasad Shrestha was appointed to the state-of-the-art Biplane Cathlab at Kathmandu Medical College.
DSA angiography was carried out under the leadership of Dr. Arun Poudel.
During the examination, it was confirmed that the bleeding was caused by the rupture of the brain AVM, an abnormally formed blood vessel network between the artery that carries blood to the brain and the vein that carries blood to the brain.
In the process of treatment, liver specialist Dr. Sagar Poudel’s team was also involved.
According to doctors, AVMs are a rare congenital blood vessel disorder.
Usually, this problem appears or ruptures in youth. However, an AVM rupture at the age of 67 is rare and considered a high-risk condition.
After the diagnosis was confirmed, the doctors successfully treated the AVM using neurointervention (endovascular) technology, necessary stents and balloon technology by inserting a very small catheter from the blood vessel of the thigh into the brain without opening the head.
After a long
and complicated treatment, the team of doctors was able to control the bleeding and close the AVM safely, according to the hospital.
According to doctors, Hariprasad’s health has improved significantly after the treatment, he has regained consciousness within a few days and his health condition is normal.
Hariprasad’s wife Sujata Kandel said that it was a moment of happiness that cannot be expressed in words.
Hari Prasad himself has also expressed gratitude to the medical team involved in his treatment, saying that he was provided easy and successful treatment.
According to Dr. Poudel, if bleeding is seen in an abnormal place in the brain, it should not be treated only as a normal stroke or hemorrhage.
In these cases, a neurointervention evaluation, including DSA angiography, may be needed to look for AVMs, aneurysms, or other vascular abnormalities.
He said that the lives of many such patients could be saved if the correct diagnosis and treatment were done on time. According to him, the successful treatment of a brain AVM that burst at the age of 67 through neurointervention is the first achievement not only for Kathmandu Medical College but also in the medical history of Nepal. Kathmandu Medical College is a hospital run by Dr. Sunil Sharma, a popular leader of the Nepali Congress.
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