KMC Successfully Treats Complex Brain Hemorrhage Using Neurointervention

Kathmandu. Kathmandu Medical College (KMC) has successfully treated a 67-year-old patient with a ruptured brain blood vessel using the non-surgical neurointervention technique. According to the college, this is the first such successful treatment in Nepal for a patient whose 'Brain AVM' (Arteriovenous Malformation) ruptured at the age of 67. Hariprasad Kandel, 67, who has been suffering from a chronic liver disease, suddenly fainted and was rushed to KMC's emergency room. A CT scan at the hospital revealed a large amount of bleeding (hematoma) in an abnormal location in his brain. Due to the complex nature of the bleeding, a 'DSA angiography' test was performed in the hospital's state-of-the-art biplane cath lab to determine the exact cause. The test, led by neurointervention specialist Dr. Arun Poudel, confirmed that the bleeding was caused by the rupture of a congenital abnormal network of blood vessels (AVM) between the artery supplying blood to Kandel's brain and the vein returning it. The treatment process also involved a team of liver disease specialists led by Dr. Sagar Poudel. According to doctors, AVM is a rare congenital anomaly that usually appears or ruptures in youth. Such a problem appearing and rupturing at the age of 67 is considered extremely rare and high-risk. Considering the patient's condition, doctors opted for the neurointervention (endovascular) technique instead of traditional surgery. In this procedure, a small catheter was inserted through a blood vessel in the thigh to the brain, and the ruptured AVM was safely closed using a stent and balloon. The hospital stated that the patient's health has significantly improved after the complex treatment. According to Dr. Arun Poudel, who was involved in the treatment, any bleeding in an abnormal location in the brain should not be considered just a normal stroke but requires a thorough evaluation by a specialist. Dr. Poudel said, 'With timely and correct diagnosis and the use of modern technology, the lives of patients in such critical conditions can be saved.' Hariprasad Kandel, who has fully recovered after the treatment, and his family expressed their gratitude to the medical team for the successful treatment. KMC, operated by Nepali Congress leader Dr. Sunil Sharma, considers this achievement a significant milestone in Nepal's medical history.