CIRSE - Cardiovascular and Interventional Radiological Society of Europe

CIRSE - Cardiovascular and Interventional Radiological Society of Europe The Cardiovascular and Interventional Radiological Society of Europe (CIRSE) www.cirse.org

  with Dr. Avichala Taxak - "The stent doctor" ๐“๐ก๐š๐ง๐ค ๐˜๐จ๐ฎ, ๐‚๐ˆ๐‘๐’๐„ ๐Ÿ’–As this weekโ€™s takeover comes to an end, I would like t...
05/06/2026

with Dr. Avichala Taxak - "The stent doctor"

๐“๐ก๐š๐ง๐ค ๐˜๐จ๐ฎ, ๐‚๐ˆ๐‘๐’๐„ ๐Ÿ’–

As this weekโ€™s takeover comes to an end, I would like to sincerely thank CIRSE & ISVIR India for this opportunity to share a glimpse of Interventional Radiology practice from New Delhi, India.
It has been a privilege to showcase not only the diverse spectrum of cases we treat, but also how we approach patient care, teamwork, decision-making, and training in our daily practice.
I am grateful to my mentors, trainees, nurses, technologists, and support staff who contribute to the care of our patients every day.
โค๏ธโ€๐Ÿฉน Most importantly, thank you to the patients who place their trust in us and allow us to be a part of their journey.
Thank you to everyone who followed along throughout the week.

๐Ÿ‘‹ Greetings from New Delhi, India.

-Dr. Avichala Taxak

05/06/2026

with Dr. Avichala Taxak - "The stent doctor"

๐Ÿง  ๐–๐ก๐ž๐ง ๐Œ๐ข๐ง๐ฎ๐ญ๐ž๐ฌ ๐Œ๐š๐ญ๐ญ๐ž๐ซ ๐Œ๐จ๐ฌ๐ญ

Acute ischemic stroke is one of the few medical emergencies where every minute has a direct impact on patient outcomes.

While mechanical thrombectomy has transformed the treatment of large-vessel occlusive stroke, successful stroke care begins long before the first catheter enters the vessel.

At our institution, a dedicated Code FAST is activated as soon as a patient with suspected acute stroke arrives in the Emergency Department. Rapid clinical assessment, expedited imaging, prompt decision-making, and seamless coordination between emergency physicians, neurologists, radiologists, nurses, technologists, and the neurointerventional team allow patients to move efficiently from diagnosis to treatment.

The images below represent a selection of stroke thrombectomy cases managed through this pathwayโ€”from vascular occlusion to successful reperfusion.

For endovascular specialists, stroke care is a reminder that outcomes depend not only on technical expertise, but also on efficient systems of care, multidisciplinary teamwork, and timely intervention.

โค๏ธโ€๐Ÿฉน ๐˜‰๐˜ฆ๐˜ค๐˜ข๐˜ถ๐˜ด๐˜ฆ ๐˜ธ๐˜ฉ๐˜ฆ๐˜ฏ ๐˜ช๐˜ต ๐˜ค๐˜ฐ๐˜ฎ๐˜ฆ๐˜ด ๐˜ต๐˜ฐ ๐˜ด๐˜ต๐˜ณ๐˜ฐ๐˜ฌ๐˜ฆ, ๐˜ฆ๐˜ท๐˜ฆ๐˜ณ๐˜บ ๐˜ฎ๐˜ช๐˜ฏ๐˜ถ๐˜ต๐˜ฆ ๐˜ต๐˜ณ๐˜ถ๐˜ญ๐˜บ ๐˜ฎ๐˜ข๐˜ต๐˜ต๐˜ฆ๐˜ณ๐˜ด.

@ Super Speciality Hospital

Now on demand: the CIRSE webinar on below-the-knee disease in cooperation with Shockwave Medical!Watch the recording for...
05/06/2026

Now on demand: the CIRSE webinar on below-the-knee disease in cooperation with Shockwave Medical!

Watch the recording for free here โžก๏ธ https://t.ly/qvYVC

This webinar reviews the pathology of below-the-knee (BTK) disease, examines current treatment limitations, and introduces the role of Shockwave Intravascular Lithotripsy (IVL). Faculty presents the Shockwave E8 and JAVELIN platforms, supported by clinical evidence, and discusses how these technologies expand BTK treatment options.

Moderator: Maria Antonella Ruffino, MD, EBIR, FCIRSE

Speakers: Raghu Lakshminarayan, Narayanan Thulasidasan, PD Dr. Christian Wissgott, EBIR-ES

  with Dr. Avichala Taxak - "The stent doctor" ๐Ÿ”ฌ ๐€๐œ๐œ๐ฎ๐ซ๐š๐ญ๐ž ๐ƒ๐ข๐š๐ ๐ง๐จ๐ฌ๐ข๐ฌ ๐ฌ๐ญ๐š๐ซ๐ญ๐ฌ ๐ญ๐ก๐ž ๐‰๐จ๐ฎ๐ซ๐ง๐ž๐ฒWhen people think of Interventiona...
04/06/2026

with Dr. Avichala Taxak - "The stent doctor"

๐Ÿ”ฌ ๐€๐œ๐œ๐ฎ๐ซ๐š๐ญ๐ž ๐ƒ๐ข๐š๐ ๐ง๐จ๐ฌ๐ข๐ฌ ๐ฌ๐ญ๐š๐ซ๐ญ๐ฌ ๐ญ๐ก๐ž ๐‰๐จ๐ฎ๐ซ๐ง๐ž๐ฒ

When people think of Interventional Radiology, they often think of embolization, stent grafts, thrombectomy, or other complex interventions.

Yet some of the most impactful procedures we perform are image-guided core biopsies.

The era of precision medicine has transformed oncology. Today, treatment decisions increasingly depend not only on identifying a malignancy, but also on obtaining sufficient tissue for histopathological, immunohistochemical, and molecular analysis. Accurate diagnosis has never been more important.

Using CT and ultrasound guidance, Interventional Radiologists can safely access lesions throughout the bodyโ€”including the lung, liver, mediastinum, retroperitoneum, vertebrae bony lesionsโ€”many of which would otherwise require more invasive approaches.

๐ŸŽฏ The ability to precisely target deep, small, or anatomically challenging lesions has dramatically expanded diagnostic possibilities and helped patients begin the most appropriate treatment sooner.

While these procedures may appear routine, the information obtained often defines an entire patientโ€™s treatment pathway.

This is also where teamwork quietly makes a difference. Efficient patient preparation, procedural support, specimen handling, recovery, and follow-up rely on dedicated nurses, technologists, and support staff working seamlessly together every day.

๏ปฟ

  with Dr. Avichala Taxak - "The stent doctor" ๐ŸŽ“  #๐“๐ซ๐š๐ข๐ง๐ž๐ž๐“๐ก๐ฎ๐ซ๐ฌ๐๐š๐ฒ: ๐’๐ž๐ž๐ข๐ง๐  ๐ˆ๐ง๐ญ๐ž๐ซ๐ฏ๐ž๐ง๐ญ๐ข๐จ๐ง๐š๐ฅ ๐‘๐š๐๐ข๐จ๐ฅ๐จ๐ ๐ฒ ๐“๐ก๐ซ๐จ๐ฎ๐ ๐ก ๐…๐ซ๐ž๐ฌ๐ก ๐„๐ฒ๐ž๐ฌLa...
04/06/2026

with Dr. Avichala Taxak - "The stent doctor"

๐ŸŽ“ #๐“๐ซ๐š๐ข๐ง๐ž๐ž๐“๐ก๐ฎ๐ซ๐ฌ๐๐š๐ฒ: ๐’๐ž๐ž๐ข๐ง๐  ๐ˆ๐ง๐ญ๐ž๐ซ๐ฏ๐ž๐ง๐ญ๐ข๐จ๐ง๐š๐ฅ ๐‘๐š๐๐ข๐จ๐ฅ๐จ๐ ๐ฒ ๐“๐ก๐ซ๐จ๐ฎ๐ ๐ก ๐…๐ซ๐ž๐ฌ๐ก ๐„๐ฒ๐ž๐ฌ

Last month, a new fellow (Dr. Lakshmi Likitha) joined our Interventional Radiology team.

Curious to hear her perspective, I asked what had attracted her to Interventional Radiology in the first place.

Her answer was simple:

โ€œThe ability to help patients through minimally invasive treatments. โ€

A great answer, but one that reflects what many people initially think Interventional Radiology is.

I then asked her what surprised her most after joining the department.

Her response was even more interesting.

โ€œI thought IR was mainly about performing procedures and sending patients home. What I didnโ€™t appreciate was how much patient care happens before and after the procedure.โ€

โค๏ธโ€๐Ÿฉน From outpatient consultations and counselling, to treatment planning, performing interventions, inpatient management, follow-up, and collaboration with other specialties - Interventional Radiology is far more than a procedure-based service.

Perhaps one of the biggest misconceptions about our specialty is that we simply perform procedures.

In reality, we often provide comprehensive minimally invasive care for patients across a wide spectrum of diseases.

Seeing IR through the eyes of a new trainee was a good reminder of how much Interventional Radiology has progressed and continues to evolve; and how important it is that we continue to share what we do.

๐Ÿฉบ On a personal note, it is encouraging to see more women choosing careers in Interventional Radiology and contributing to its future.

What surprised you most when you first encountered Interventional Radiology?

Healthcare Super Speciality Hospital

  with Dr. Avichala Taxak - "The stent doctor"  โ„๏ธ ๐’๐จ๐ฆ๐ž๐ญ๐ข๐ฆ๐ž๐ฌ ๐ญ๐ก๐ž ๐Œ๐จ๐ฌ๐ญ ๐ˆ๐ฆ๐ฉ๐จ๐ซ๐ญ๐š๐ง๐ญ ๐Ž๐ฎ๐ญ๐œ๐จ๐ฆ๐ž ๐ˆ๐ฌ ๐๐ฎ๐š๐ฅ๐ข๐ญ๐ฒ ๐จ๐Ÿ ๐‹๐ข๐Ÿ๐žInterventional...
03/06/2026

with Dr. Avichala Taxak - "The stent doctor"

โ„๏ธ ๐’๐จ๐ฆ๐ž๐ญ๐ข๐ฆ๐ž๐ฌ ๐ญ๐ก๐ž ๐Œ๐จ๐ฌ๐ญ ๐ˆ๐ฆ๐ฉ๐จ๐ซ๐ญ๐š๐ง๐ญ ๐Ž๐ฎ๐ญ๐œ๐จ๐ฆ๐ž ๐ˆ๐ฌ ๐๐ฎ๐š๐ฅ๐ข๐ญ๐ฒ ๐จ๐Ÿ ๐‹๐ข๐Ÿ๐ž

Interventional Oncology is often associated with tumour control, but some of the most meaningful procedures focus on something equally important: improving how patients live.

This 35-year-old woman with metastatic Ewing sarcoma had painful pelvic metastatic deposits involving the p***c symphysis, right obturator externus, left obturator internus, left gemellus muscle.

Despite systemic & loco-regional therapy, she experienced severe pain, was dependent on opioid analgesics, struggled to walk, and was unable to comfortably move her hipโ€”significantly affecting her daily life.

Staging PET-CT demonstrated multifocal metastatic disease involving the pelvis, femur, humerus, paraspinal soft tissues, and thigh. Given the extent of metastatic disease, management focused on palliative symptom control and preservation of quality of life.

After consulting our team via teleconsultation, she travelled to us seeking an option that could help alleviate her symptoms and improve daily function.

We performed CT-guided cryoablation using three cryoprobes to target the painful pelvic metastases.

The objective was not cure.

The objective was to reduce pain, improve mobility, and restore quality of life.

At follow-up, she reported significant pain relief, reduced dependence on analgesics, improved sleep, and greater mobility.

This case serves as an important reminder that the goals of treatment should evolve with the patientโ€™s needs. In patients with non-curable malignancy, success is not always measured by tumour eradication. Sometimes the most meaningful outcomes are the ability to move with less pain, sleep through the night, and regain a degree of independence.

โค๏ธโ€๐Ÿฉน Not every patient needs a cure. Every patient deserves care.

@ Super Speciality Hospital

Don't forget to join us today CIRSE webinar on below-the-knee disease in cooperation with Shockwave Medical!Today, 17:00...
03/06/2026

Don't forget to join us today CIRSE webinar on below-the-knee disease in cooperation with Shockwave Medical!

Today, 17:00-18:30 CEST

๐Ÿ“Œ Programme and faculty: https://t.ly/htIGl

๐Ÿ’ป Webinar access link: https://t.ly/POgB4

BTK disease remains one of the toughest challenges in peripheral intervention, especially in patients with CLTI and heavily calcified lesions. In todays CIRSE webinar, experts will explore the role of Shockwave IVL in complex BTK treatment, including insights into the E8 and JAVELIN platforms, clinical evidence, case examples, and a practical treatment algorithm for daily practice.

Moderator: Maria Antonella Ruffino, MD, EBIR, FCIRSE

Speakers: Raghu Lakshminarayan, Narayanan Thulasidasan, PD Dr. Christian Wissgott, EBIR-ES

๐ŸŒ What does the future of interventional radiology look like in Taiwan?Following the signing of a memorandum of understa...
03/06/2026

๐ŸŒ What does the future of interventional radiology look like in Taiwan?

Following the signing of a memorandum of understanding between CIRSE and the Taiwan Society of Interventional Radiology (TSIR), CIRSE Insider spoke with TSIR President Dr. Pi-Yi Chang about the societyโ€™s vision, the status of IR in Taiwan, and how TSIR is helping drive innovation, education, and collaboration both regionally and internationally.

๐Ÿ‘‰ Read the full CIRSE Insider article and learn more about CIRSEโ€™s newest group member: https://t.ly/JvbbZ

  with Dr. Avichala Taxak - "The stent doctor" ๐€ ๐–๐ข๐ง๐๐จ๐ฐ ๐ˆ๐ง๐ญ๐จ ๐ˆ๐ง๐ญ๐ž๐ซ๐ฏ๐ž๐ง๐ญ๐ข๐จ๐ง๐š๐ฅ ๐‘๐š๐๐ข๐จ๐ฅ๐จ๐ ๐ฒ ๐ข๐ง ๐ˆ๐ง๐๐ข๐š โ˜€๏ธ Every morning, beyond ...
03/06/2026

with Dr. Avichala Taxak - "The stent doctor"

๐€ ๐–๐ข๐ง๐๐จ๐ฐ ๐ˆ๐ง๐ญ๐จ ๐ˆ๐ง๐ญ๐ž๐ซ๐ฏ๐ž๐ง๐ญ๐ข๐จ๐ง๐š๐ฅ ๐‘๐š๐๐ข๐จ๐ฅ๐จ๐ ๐ฒ ๐ข๐ง ๐ˆ๐ง๐๐ข๐š โ˜€๏ธ

Every morning, beyond the busy streets of New Delhi, another day begins inside the hospital.

One of the aspects I enjoy most about practising Interventional Radiology in India is the remarkable breadth of medicine we encounter. On any given day, we may be treating peripheral arterial disease, restoring a dialysis access, managing life-threatening bleeding, performing biopsies, draining infections, or repairing complex aortic pathology.

Different diseases. Different procedures. One common purpose.

To improve a patientโ€™s quality of life through thoughtful, minimally invasive care.

The diversity of pathology challenges us to continuously learn, adapt, and grow, not only as interventionists, but as physicians.

Equally important are the people who make this possible. Behind every successful procedure is a dedicated team of nurses, technologists, residents, fellows, and consultants working together toward the same goal.

The technology & the advancement is fascinating.

The privilege of caring for people is what makes it meaningful.

Namaste from New Delhi. ๐Ÿ™๐Ÿผ

@ Super Speciality Hospital

โ˜€๏ธ Planning to attend   in Valencia?You may be eligible for an ๐„๐๐ฎ๐œ๐š๐ญ๐ข๐จ๐ง๐š๐ฅ ๐†๐ซ๐š๐ง๐ญ! For a limited time, selected applicant...
02/06/2026

โ˜€๏ธ Planning to attend in Valencia?

You may be eligible for an ๐„๐๐ฎ๐œ๐š๐ญ๐ข๐จ๐ง๐š๐ฅ ๐†๐ซ๐š๐ง๐ญ!

For a limited time, selected applicants can receive free registration plus up to 350โ‚ฌ towards travel and accommodation.

A limited number of grants are available on a first come, first serve basis.

Apply now ๐Ÿ‘‰ https://t.ly/-raic

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