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CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2022; 6(01): 28-36
DOI: 10.1055/s-0041-1726147
Review Article

Birth and Growth of Neuroimaging and Vascular Intervention at Sree Chitra Tirunal Institute for Medical Sciences & Technology, Thiruvananthapuram—Part I

Rajanikanth Rao Vedula 
1   Krishna Institute of Medical Sciences, Secunderabad, Telangana, India
2   Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India
,
Ravi Mandalam Kolathu 
2   Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India
3   KPJ Sabah Specialist Hospital, Jalan Bersatu, Luyang, Kota Kinabalu, Malaysia
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Abstract

This article is a historical narrative that traces the growth of neuroradiology and interventional radiology at the Sree Chitra Tirunal Institute of Medical Sciences and Technology, Thiruvananthapuram. From its humble origins in the pre-CT scan era of the mid and late 1970s, when invasive diagnostic procedures such as percutaneous carotid angiography, myelography, pneumoencephalography (PEG) and ventriculography were the mainstay of neuroimaging, the authors take the reader through their gradual foray into catheter four-vessel angiography and later free-flow embolization of arteriovenous malformations (AVMs), and finally to the use of microcatheters for selective embolization procedures. The equipment used in those early years—fluoroscopic tilting table, roll-film cameras, serial changers, PEG tables—provide an insight to an era with all its challenges before the advent of digital imaging. The authors’ efforts to indigenize some of the hardware such as metallic stents and embolization material such as hydrogel spheres and lyophilized dura are also highlighted. The development of peripheral vascular intervention alongside neuroradiology is also highlighted. The authors pay tribute to an early pioneer of neuroradiology in India, Prof. Mahadevan Pillai, who was a guiding light to them during those nascent years.

Keywords

neuroimaging - vascular intervention - interventional neuroradiology


Publikationsverlauf

Artikel online veröffentlicht:
14. April 2021

© 2021. Indian Society of Vascular and Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Pilai KM, Rarnamurthi B. Carotid angiography in intracranial lesions’. Indian J Surg 1955; 17: 83-88
    PubMedGoogle Scholar
  • 2 Pillai KM. Cerebral angiography. A review of 1000 cases. Neurol India 1958; 6: 38-41
    PubMedGoogle Scholar
  • 3 Pillai KM. Pineal gland calcification. Neurol India 1968; 16 (01) 35-36
    PubMedGoogle Scholar
  • 4 Mani KS. Reminiscences of an old man. Souvenir. Paper presented at: 43rd Annual Conference of the Neurological Society of India; 1994; Bangalore
    PubMed
  • 5 Pillai KM. The Pioneer in Neuroradiology in India K. Rajasekharan Nair. Available at: Neurosocietyindia.org. Accessed December 29, 2020
    PubMed
  • 6 Rao VRK. Neuroradiology. In: Pandya SK, ed. Neurosciences in India. Retrospect and Prospect. New Delhi: Neurological Society of India and the Council for Scientific and Industrial Research 1989: 547-557
  • 7 VRK Rao – A True Pioneer. Express Healthcare article, Chandigarh, dated 09 Oct 2013
    PubMed
  • 8 Rao VRK, Roout D, Mohan PK. Air myelography - An aid to surgical approach in Syringomyelia. Continuing Medical Education Programme Neurological Society of India 1981: 213-217
  • 9 Rao VRK, Mandalam R, Seouiera R, Mohan PK, Rout D. C. T. metrizamide myelography in syringohydromyelia. J Neuroradiol 1987; 14 (01) 82-88
    PubMedGoogle Scholar
  • 10 Kumar S, Mandalam KR, Rao VRK. et al Percutaneous transluminal angioplasty in nonspecific aortoarteritis (Takayasu’s disease): experience of 16 cases. Cardiovasc Intervent Radiol 1989; 12 (06) 321-325
    CrossrefPubMedGoogle Scholar
  • 11 Ravimandalam K, Rao VR, Kumar S, Joseph S, Lal AV, Mohanty M. Chronic arterial occlusion in a canine model: a novel technique. AJR Am J Roentgenol 1990; 155 (06) 1348-1348
    CrossrefPubMedGoogle Scholar
  • 12 Mandalam KR, Rao VRK, Neelakandhan KS, Kumar S, Unnikrishnan M, Mukhopadhyay S. Hyperperfusion syndrome following balloon angioplasty and bypass surgery of aortic arch vessels: a report of 3 cases. Cardiovasc Intervent Radiol 1992; 15 (02) 108-112
    CrossrefPubMedGoogle Scholar
  • 13 Rao SA, Mandalam KR, Rao VR. et al Takayasu arteritis: initial and long-term follow-up in 16 patients after percutaneous transluminal angioplasty of the descending thoracic and abdominal aorta. Radiology 1993; 189 (01) 173-179
    CrossrefPubMedGoogle Scholar
  • 14 Mandalam KR, Subramanyan R, Joseph S. et al Natural history of aortoarteritis: an angiographic study in 26 survivors. Clin Radiol 1994; 49 (01) 38-44
    CrossrefPubMedGoogle Scholar
  • 15 Santhosh J, Mandalam KR, Rao VRK. et al Self-expandable stents for tracheal stenosis: experience in two patients. Australas Radiol 1994; 38 (01) 78-81
    CrossrefPubMedGoogle Scholar
  • 16 Gupta AK, Ravimandalam K, Rao VRK, Joseph S, Unni M, Rao AS. Modified crossover and guidewire loop technique for double-balloon angioplasty of the aortic bifurcation. Cardiovasc Intervent Radiol 1994; 17 (02) 116-118
    CrossrefPubMedGoogle Scholar
  • 17 Joseph S, Mandalam KR, Rao VR. et al. Percutaneous transluminal angioplasty of the subclavian artery in nonspecific aortoarteritis: results of long-term follow-up. J Vasc Interv Radiol 1994; 5 (04) 573-580
    CrossrefPubMedGoogle Scholar
  • 18 Mandalam KR, Rao VRK, Sandhyamani S. et al. Focal occlusive disease of the common femoral artery: a report of 20 cases. Cardiovasc Surg 1994; 2 (04) 498-502
    PubMedGoogle Scholar