Email: drshrikaantkothekar@gmail.com
Phone (Clinic): +91-712-2237551
Rare Surgery performed at CIIMS | Uterine Fibroid Embolization : Preserve Womanhood | Fallopian Tube Recanalisation : Cherish Womanhood | Brain stroke | Peripheral Vascular Disease
Ready Reckoner

Headache With Bleeding Brain Haemorrhage Blood Vessel tumour Blockage in Neck Vessel Narrowing of wind pipe Pulsatile supraclavicular swelling Giddiness Blood Through Sputum Paralysis/Brain Attack Cyanosis Absent pulse at wrist Portal Hypertension Cancer Low Blood Sugar Obstructive Jaundice Painful Back Drop in Platelets Pain after meal Obstructive Uropathy Pulsatile abdominal/throracic mass Blood Vomitting/Blood in Stool Male Infertitity/Pelvic congestion Syndrome Bowel and Ureteric Stricture Blood in Urine Failure To Conceive Leg Swelling Pain in Leg on Walking Acute Limb Ischemia Blockage of Kidney Vessel Vaginal Bleeding Lower motor weakness Benign Hypertrophy of Prostate ×
Ready Reckoner
PROBLEM PRESENTATION ETIOLOGY PROCEDURE
Ischemic Stroke Hemiplegia /Hemiparesis/Coma Acute ICA / MCA /Basilar Artery Stent Retriever /Suction Thrombectomy
Carotid Artery Stenosis Transient Ischemic Attack (TIA) Atherosclerosis – HT, DM, Dyslipidemia Angioplasty and stenting with protection device
Vertebro-basilarInsufficiency (VBI) Vertigo,Gait disturbance Stenosis at vertebral or basilar artery Vertebro-basilar stenting
Hemorrhagic Stroke a. Subarachnoid Haemorrhage b. ICH Headache, Unconsciousness, Neuro deficit Aneurysm, A-V malformation Coil Embolization or Flow diverted glue / Onyx Embolization
Venous infarct Convulsions, Unconsciousness, Neuro deficit / Coma Sagittal Sinus Thrombosis Local sagittal sinus thrombolysis
Absent Radial Syncope, Pain in forearm / hand Subclavian steal syndrome (Subclavian artery stenosis) Subclavian artery stenting
Acute limb ischemia Acute pain in extremity, Absent pulsations / gangrene Thrombo-Embolism Local intra-arterial thrombolysis
Pulsatile Supraclavicular swelling Swelling, Ischemic Pain Traumatic / Iatrogenic Subclavian stent graft
Renal Artery Stenosis Hypertension Artherosclerosis, Aorto arteritis, Fibromuscular Dysplasia Angioplasty and Stenting
Abdominal Pain (Normal investigations) Severe pain / post prandial abdominal pain Mesentric artery stenosis / Embolic acute mesenteric occlusion Mesentric artery angioplasty/local intraarterial thrombolysis
Peripheral Vascular Disease Claudication, Ulcer, Gangrene Artherosclerosis, Arteritis, Coarctation of Aorta Angioplasty and stenting, Local thrombolysis in acute cases
Pulsatile abdominal / thoracic mass Aortic Dissection Pain in Back and leg / Bleeding Thoracic aortic aneurysm, Abdominal aortic aneurysm, Middle aortic syndrome Stent graft / Stent TEVAR/EVAR
Swelling over head, neck, face and extremities Disfigurement, Bleeding, Pain, Epistasis A-V-F, Nasopharyngioma, A-V-M, Hemangioma, Vascular tumors Embolization-Percutaneous endovascular
Cyanosis Breathlesness, Polycythemia, Hemoptysis Pulmonary A-V-M, Aneurysm, A-V-F Pulmonary artery coil Embolization
Bronchial artery to pulmonary artery fistulae Haemoptysis Tuberculosis / Carcinoma Bronchial Artery Embolization
GI Bleeding Haematemesis, Malaena, Bleeding PR Ulcer, Tumor, NSAID, Aneurysm, A-V-M Angiodysplasia Mesentric Artery Embolization

PROBLEM PRESENTATION ETIOLOGY PROCEDURE
Unable to reduce weight Obesity Food habits and Sedentary Lifestyle Left Gastric Artery Embolization
Urinary Bleeding Haematuria / painful or painless A-V malformation, Trauma, Tumor, Iatrogenic (Post TURP, Renal biopsy) Endovascular Embolization
Bleeding PV Menorrhagia, Pressure symptoms Uterine fibroid / PPH Pseudoaneurysm, Pelvic A-V-M, Post-Operative Uterine artery Embolization
Portal Hypertension Haematemesis, Malaena Cirrhosis TIPS (Trans Jugular Intra Hepatic Portosystemic Shunt)
Thrombocytopenia Bleeding Hyperspleenism Partial spleenic embolization
Male Infertility / Pelvic congestion syndrome Pain / Menorrhagia Spermatic Varicocele / Ovarian varicosities Coil Embolization
Benign Hypertrophy of prostate Difficulty in micturition / Retention Benign Prostate hyperplasia Embolization of prostatic vessels
Maligancy Cachexia HCC / Secondaries in liver Chemo-Embolization
Hypoglycemia Syncope Insulinoma Pancreatic artery Embolization
Lower motor weakness Acute neuro deficit Spinal A-V-M / A-V-F, Hemangioma of vertebral body Embolization
DVT with/without Pulmonary Embolism Leg Swelling , Pain in Chest, Breathlessness Hypercoagulable state, Trauma, Infection, Post-operative Local thrombolysis and IVC filter placement
Obstructive Jaundice Jaundice / Itching Biliary stricture / Maligancy PTBD / Stenting
Obstructive Uropathy Oligouria, Anuria, Malaise, Anemia, Pain Calculus, Stricture Percutaneous Nephrostomy & D-J Stenting
Bowel and Ureteric stricture Constipation / Obstructive uropathy Inflammatory / Neoplasia Dilatation and stenting
Female Infertility Inability to conceive Corneal Block Fallopian Tube Recanalization (FTR)
Osteoporosis of Vertebral Body Pain in back, Tenderness Post-menopausal, Old age, Immunosuppression, Haemangioma Vertebroplasty- Percutaneous transpedicular bone cement injection / Kyphoplasty
Tracheal Stenosis Difficulty in breathing (Stridor) Extrinsic compression Tumor encasement / Tracheomalacia Tracheal Stenting

 

 

Location
Shri-Roop Vascular Angio Clinic, Opp. Kalyan Jewellers & Petrol Pump 79, Abhyankar Nagar, Nagpur - 440010. INDIA
  
Achievements
From devising his own catheters using polythene tubing in 1985 at Goverment Medical College and Hospital (GMCH) to conducting minimal invasive procedures for treating varied diseases, Dr. Shrikant Kothekar, City's first interventional radiologist IR. Read More....
 
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