Interventional Neurosurgeon, Dr. Mohana Rao Patibandla of Guntur performs a stroke Mechanical thrombectomy to successfully resolve a right hemiparesis and aphasia condition in a 49 YO patient. 

Brain damage on account of stroke leads to varying levels of disabilities and impairment. For example, damage to the left side of the brain affects the right side of the body especially leaving the patient impaired with aphasia or language and speaking disabilities and/or with slight weakness or hemiparesis or hemiplegia.

Speaking on such conditions, Dr. Mohana Rao, a leading interventional neurosurgeon in Guntur states, ‘In such cases, I recommended a stoke thrombectomy, a minimally invasive procedure developed that efficiently removes the clots in the blood vessels of the brain. Today, much modern neurosurgery interventional neurosurgeon goes a long way in ensuring speedy recovery of the patient if the patient comes to the hospital in time i.e within 24 hours.’

Dr. Rao is the founder and the medical director of Dr. Rao’s Hospital in Guntur, which is synonymous with 360 degrees patient-centered treatment including advanced neurology, neurosurgery, minimally invasive neurosurgery, endoscopic and microscopic key-hole surgeries for both brain and spine, Brain port minimally invasive Neuro-oncology along with Radiosurgery, Interventional Neuroradiology for all the neurological diseases, neuropsychology and Neuro-rehabilitation services to patients of all ages.

Dr. Rao does routinely mechanical thrombectomy for the large vessel occlusion strokes, Recently, Dr. Rao successfully treated a 49 YO male patient with new-onset right hemiparesis and aphasia of one-hour duration. He had approached Dr. Rao for further management of his condition.  

Dr. Rao suggested a stroke thrombectomy also referred to as mechanical thrombectomy procedure for his recovery. The patient’s GCS score was 13, i.e., eye-opening, motor, and verbal responses on admission to the ICU ward of the hospital. The patient received suitable medication for his hypertension condition and was taken for a CT scan and angiogram as required. 

Dr. Rao performed the mechanical thrombectomy surgery on the patient. The patient was placed supine on the angiographic table, and the right groin was prepped and draped in the usual sterile manner. The skin and subcutaneous tissues were anesthetized with 0.25% bupivacaine. Then, using a 19 G needle, the right common femoral artery was punctured and cannulated under ultrasound guidance, and a 8 French arterial sheath was placed over a guidewire. The patient was shifted to the ICU and immediately did the cerebral angiogram following the tenecteplase injection.

The sheath was attached to a continuous heparinized saline flush. A 5F Bernstein catheter was placed through the sheath and advanced over a Terumo guidewire into the aortic arch. Dr. Rao and his team performed a selective catheterization of the following blood vessels. Then we did the mechanical thrombectomy using the Neuron Max 088, ACE 68 and suctioned the clot, and flow was restored.

At the end of the procedure, after verifying that the sheath entered in an appropriate place, the sheath was removed along with 40 min manual compression, and hemostasis was achieved without difficulty. The recovery was uncomplicated.

Further, the patient was observed for a recurrent left hemisphere stroke, and there was not another episode. He improved to his baseline with normalization of the power on the right side, and aphasia was reverted with normal speech, and no further deficits were detected in two hours.

On postoperative day #1, the patient was examined by the physical therapy and occupational therapy services and found no further inpatient needs. The vital signs and laboratory examination were unremarkable, counting fingers at 6 meters. The patient could see the objects, identify the colors, and display full strength and sensation while maintaining appropriate bowel movements and bladder function. The incision was clean, dry, and intact. 

Dr. Rao and his team considered the patient stable and suitable for discharge as the pain was well-controlled, and the patient was quite active in his oral food intake.

Dr. Rao’s Hospital is the first hospital in South India to offer Flat Panel Biplane Vascular Hybrid Cath Lab and Full Storz Endoscopic solution with 4K technology, Full solution of Stealth 8 Neuronavigation system including Stealth DTI and Frame Link, intra-operative Xper dual CT, intraoperative neuromonitoring for the accuracy and precision in the Neurosurgical treatment. 

It is worth mentioning to state that the Neuro ICUs of Dr. Rao’s Hospital are equipped with only FDA-approved critical care equipment and thereby offer the best possible comprehensive neurosurgical care under one roof. 

Dr. Rao has founded his hospital to treat patients in Andhra Pradesh and Telangana. The hospital is fortified with neurologists, neurosurgeons, and other medical staff trained in treating brain and spine disorders and complications.  

Dr. Rao is available for consultation and appointments at [email protected] or call on 090100 56444 /9010057444. #KhabarLive #hydnews 

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