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Fulltext Catheter directed pulmonary artery thrombolysis in a covid-19 positive patient with massive pulmonary embolism: case management and endovascular suite workflow in a pandemic

Rajadurai A, Eng KS, Lee CK, Emy Saera R, Zulkifli Zaki AG

Journal of Cardiovascular, Neurovascular and Stroke, 2020;2(2):55-58.

MyJurnal

Thromboembolic complications are common amongst cases of COVID-19 infections. This occurrence has seen a key role of endovascular treatment in the management of this potentially fatal complication. Endovascular thrombectomy or catheter directed thrombolysis is a fast and effective method for treatment of pulmonary embolisms, especially in a pandemic. We describe a case of COVD-19 complicated with massive pulmonary embolism treated with catheter directed thrombolysis- discussing case management, patient workflow and safety measures that should be strictly adhered to ensure a favorable outcome and ensure safety of treating personnel.

Fulltext Endovascular Treatment of Cavernous Sinus Dural Arteriovenous Fistula via Radial Artery and Median Cubital Vein

Tan WN, Rajadurai A, Balakrishnan D

Neurointervention, 2021 Jul;16(2):194-198.

PMID: 34107596 DOI: 10.5469/neuroint.2021.00157

Cavernous sinus dural arteriovenous fistula (CS-DAVF) is an arteriovenous shunt where there is fistulous blood flow from the dural arteries from the internal or external carotid artery into the cavernous sinus. The current mainstay of therapy is endovascular treatment. We present a case of restrictive type of CS-DAVF in a 75-year-old male who presented with right eye symptoms. He was treated with embolisation using trans-radial artery access for angiographic runs and a median cubital vein access navigating into the cavernous sinus for coil deployment. This technique completely avoids the conventional technique of a femoral approach and confines all access to the arm. Therefore, there are less risks and complications associated with an arm access, improves patients' comfort and mobility post procedure. Transradial artery and cubital vein access allows for a safe and convenient alternative technique using the arm as compared with conventional transfemoral approach for treatment of CS-DAVF.

Fulltext Embolisation of External Jugular Vein Aneurysm: A Case Report

Rajadurai A, Aziz AA, Daud NAM, Wahab AFA, Muda AS

Malays J Med Sci, 2017 Dec;24(6):107-112.

PMID: 29379394 DOI: 10.21315/mjms2017.24.6.14

Introduction: Venous aneurysms are not as common as their arterial counterpart. The choice of management is debatable. Case Report: We present the case of a teenage boy with left external jugular vein aneurysm treated by endovascular technique. Embolisation was done using pushable microcoils with access via the femoral vein and direct puncture.

Conclusion: This form of treatment provides a less-invasive option with a more concrete evaluation of the venous abnormality and its drainage during venous aneurysm occlusion.

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