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Neurointervention

About the Specialty

Providing the most advanced dedicated comprehensive neurointerventional care for acute brain stroke like mechanical thrombectomy, brain aneurysm coiling, embolization of brain and spine vascular lesions, stenting and angioplasty of carotid artery and vascular stenotic lesions of head and neck.

Anaesthesia

The department of neurointervention at MGMCH deals with investigations and treatment of for vascular diseases of brain, spine, head and neck.

We have team of experts who are competent to perform Brain and Spinal interventional procedures and provide comprehensive treatment with state of art advanced dedicated SIEMENS BIPLANE NEUROINTERVENTIONAL ANGIOGRAPHY SUITE (biplane neurointervention cathlab). Our Department provides 24/7 emergency services for acute brain stroke, acute subarachnoid haemorrhage and neurovascular disease patients, along with multifunctional ICU and HDU. We provided advanced technology-based treatments for brain aneurysm and AVMs/AVFs, like an intraoperative 3D DSA, DYNA CT scan, 4D VASCULAR ANGIOGRAPHY and comprehensive intraoperative and post operative neuroanesthesia and critical care. Neurointerventionalist at MGMCH are highly experienced and highly skilled, and the state-of-the-art neurointervention biplane cathlab make the hospital fully capable of performing the most complicated procedures. We aim to provide comprehensive care to our patients by minimizing the risks involved.

HOD Message

HOD Massege

Dr. Madan Mohan Gupta

Professor and Head

Department of Interventional Neuroradiology

The Department of Neurointervention at MGMCH, Jaipur prides itself on being a pioneer in patient care, highly skilled neurointerventional procedures, education, and scientific research. The department is dedicated to providing world-class services to all its patients undergoing a variety of simple to complicated neurointerventional procedures. While we are equipped with supremely advanced dedicated biplane neurointerventional angiograpy suite facilities and the best technology available in the world today, our most notable asset is our phenomenal faculty

Our dedicated and highly qualified team of professionals deliver efficient and compassionate patient care that is par excellence”

Ailments

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Specialty Clinics

Brain aneurysms
  • Advanced Diagnostic Evaluation
    Comprehensive assessment using CT Angiography, MR Angiography, and Digital Subtraction Angiography (DSA) for accurate detection and characterization of intracranial aneurysms.
  • Minimally Invasive Endovascular Treatment
    Expertise in modern techniques including coil embolization, flow diverter placement, stent- assisted coiling, and balloon-assisted coiling to prevent rupture and re-bleeding.
  • 24/7 Emergency Care for Ruptured Aneurysms
    Rapid intervention for subarachnoid hemorrhage with dedicated neurocritical care support to optimize outcomes and reduce complications
Arteriovenous malformations (AVMs)
  • Comprehensive Vascular Evaluation
    Detailed assessment using MRI, CT Angiography, and Digital Subtraction Angiography (DSA) to accurately define AVM size, location, and angioarchitecture.
  • Advanced Endovascular Embolization
    Minimally invasive treatment using liquid embolic agents (Onyx, NBCA) and microcatheter techniques to reduce AVM size, prevent hemorrhage, and prepare for surgery or radiosurgery when required.
  • Multidisciplinary Treatment Planning
    Collaborative approach involving neurointerventionists, neurosurgeons, and radiation specialists to provide individualized treatment strategies for optimal safety and outcomes.
Acute ischemic stroke
  • Rapid Stroke Evaluation & Imaging
    Immediate assessment with CT/CTA, MRI, and perfusion imaging to identify large vessel occlusion and determine eligibility for reperfusion therapy.
  • Emergency Mechanical Thrombectomy
    Advanced endovascular clot retrieval using stent retrievers and aspiration devices to restore blood flow in large vessel occlusions within the therapeutic window.
  • Comprehensive Stroke Care Pathway
    Integrated management including IV thrombolysis, neurocritical care monitoring, and post- procedure rehabilitation planning to optimize functional recovery.
Intracranial and spinal vascular malformations
  • Detailed Neurovascular Assessment
    Advanced imaging with MRI, MR Angiography, CT Angiography, and Digital Subtraction Angiography (DSA) for precise diagnosis and anatomical mapping of intracranial and spinal vascular malformations.
  • Minimally Invasive Endovascular Management
    Expertise in embolization techniques using liquid embolic agents, coils, and flow-modifying devices to reduce hemorrhage risk and neurological complications.
  • Comprehensive Multidisciplinary Care
    Coordinated treatment planning with neurosurgery, neurology, and radiation oncology teams to provide individualized, evidence-based management for complex vascular lesions.
Carotid and intracranial artery stenosis
  • Comprehensive Vascular Assessment
    Evaluation using Doppler ultrasound, CT Angiography, MR Angiography, and Digital Subtraction Angiography (DSA) to accurately assess the degree and location of arterial narrowing.
  • Advanced Endovascular Revascularization
    Expertise in carotid artery stenting and intracranial angioplasty with stent placement to restore cerebral blood flow and reduce stroke risk.
  • Stroke Prevention & Long-Term Monitoring
    Individualized medical management including antiplatelet therapy, risk factor control, and regular follow-up imaging to prevent recurrent cerebrovascular events.
Cerebral venous thrombosis
  • Early Diagnosis & Advanced Imaging
    Prompt evaluation using MRI with MR Venography and CT Venography to accurately detect venous sinus thrombosis and assess the extent of cerebral involvement.
  • Targeted Endovascular & Medical Management
    Specialized care including anticoagulation therapy and, in selected severe cases, catheter- directed thrombolysis or mechanical thrombectomy to restore venous drainage.
  • Comprehensive Neurocritical & Follow-Up Care
    Close monitoring for raised intracranial pressure, seizures, and hemorrhagic complications, with structured long-term follow-up to ensure optimal neurological recovery.
Tumors requiring image-guided intervention
  • Precision Imaging & Targeted Diagnosis
    Advanced MRI, CT, and angiographic guidance for accurate tumor localization, vascular mapping, and image-guided biopsies.
  • Preoperative Tumor Embolization
    Endovascular embolization of highly vascular tumors to reduce intraoperative blood loss and improve surgical safety and outcomes.
  • Minimally Invasive Therapeutic Procedures
    Image-guided interventions including targeted drug delivery, embolization, and palliative procedures to enhance treatment efficacy and patient comfort.
Traumatic vascular injuries
  • Rapid Emergency Vascular Assessment
    Immediate evaluation using CT Angiography and Digital Subtraction Angiography (DSA) to identify arterial dissections, pseudoaneurysms, arteriovenous fistulas, and active bleeding following trauma.
  • Minimally Invasive Endovascular Repair
    Expertise in coil embolization, covered stent placement, and vessel reconstruction techniques to control hemorrhage and preserve critical blood flow.
  • Integrated Trauma & Neurocritical Care
    Multidisciplinary management in coordination with trauma surgery, neurosurgery, and intensive care teams to ensure optimal stabilization and neurological recovery.

Core Competencies

Advanced neurovascular imaging
  • High-Resolution Diagnostic Modalities
    Expertise in CT Angiography (CTA), MR Angiography (MRA), Perfusion Imaging, and Digital Subtraction Angiography (DSA) for detailed visualization of cerebral and spinal vasculature.
  • Real-Time Intra-Procedural Imaging Guidance
    Utilization of biplane angiography systems and 3D rotational imaging for precise navigation and enhanced safety during complex endovascular procedures.
  • Comprehensive Image Interpretation & Planning
    Accurate analysis of vascular anatomy and pathology to support early diagnosis, risk stratification, and individualized treatment planning.
Acute stroke intervention
  • 24/7 Rapid Reperfusion Services
    Round-the-clock availability for immediate evaluation and intervention in acute ischemic stroke, minimizing door-to-needle and door-to-groin puncture times.
  • Advanced Mechanical Thrombectomy Techniques
    Expertise in stent retriever and aspiration-based clot retrieval systems for large vessel occlusions to achieve timely and effective recanalization.
  • Integrated Stroke Care Pathway
    Seamless coordination with emergency medicine, neurology, imaging, and neurocritical care teams to ensure comprehensive management from diagnosis to rehabilitation.
Endovascular management of cerebrovascular disorders
  • Comprehensive Minimally Invasive Therapies
    Expertise in advanced endovascular techniques including coiling, flow diversion, embolization, angioplasty, and stenting for a wide spectrum of cerebrovascular conditions.
  • Precision-Guided Vascular Navigation
    Utilization of microcatheter systems, embolic agents, and state-of-the-art angiographic platforms to ensure accurate device deployment with maximum safety.
  • Personalized Treatment Strategies
    Individualized procedural planning based on vascular anatomy, lesion characteristics, and patient risk profile to optimize clinical outcomes and reduce complications.
Carotid and intracranial interventions
  • Advanced Revascularization Techniques
    Expertise in carotid artery stenting and intracranial angioplasty with stent placement to restore cerebral perfusion and reduce the risk of stroke.
  • Precision Image-Guided Procedures
    Use of high-resolution angiography and embolic protection devices to ensure safe and accurate intervention in complex vascular anatomies.
  • Comprehensive Peri-Procedural Care
    Structured patient selection, antiplatelet optimization, and post-procedure monitoring to minimize complications and improve long-term vascular outcomes.
Spinal vascular interventions
  • Comprehensive Spinal Angiographic Evaluation
    Detailed assessment of spinal arteriovenous malformations (AVMs), dural arteriovenous fistulas (DAVFs), and other vascular lesions using high- resolution spinal angiography.
  • Targeted Endovascular Embolization
    Advanced microcatheter-based techniques utilizing liquid embolic agents and coils to safely occlude abnormal spinal vascular connections while preserving normal cord perfusion.
  • Neurological Function Preservation
    Meticulous procedural planning and intra-procedural monitoring to minimize ischemic risk and optimize long-term neurological outcomes.
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Tumor related interventions
  • Preoperative Tumor Embolization
    Endovascular embolization of hypervascular intracranial and spinal tumors to significantly reduce intraoperative blood loss and improve surgical safety.
  • Image-Guided Targeted Therapies
    Precision-based interventions including tumor biopsy, targeted embolization, and adjunctive procedures under advanced imaging guidance.
  • Multidisciplinary Onco-Neuro Collaboration
    Coordinated care with neurosurgery, oncology, and radiation therapy teams to develop individualized, evidence-based treatment strategies for optimal patient outcomes
Peri-procedural patient care
  • Comprehensive Pre-Procedural Assessment
    Detailed clinical evaluation, risk stratification, medication optimization (including antiplatelet and anticoagulation management), and informed consent to ensure procedural safety.
  • Intra-Procedural Monitoring & Safety Protocols
    Continuous hemodynamic and neurological monitoring with adherence to strict aseptic and radiation safety standards during all neurointerventional procedures.
  • Structured Post-Procedural Care & Follow-Up
    Dedicated neurocritical observation, complication surveillance, imaging follow-up, and rehabilitation coordination to ensure optimal recovery and long-term outcomes.
Multidisciplinary collaboration
  • Integrated Team-Based Care
    Close coordination with neurology, neurosurgery, critical care, radiology, oncology, and rehabilitation teams to deliver comprehensive neurovascular management.
  • Collaborative Treatment Planning
    Regular multidisciplinary case discussions to formulate individualized, evidence-based treatment strategies for complex cerebrovascular and spinal conditions.
  • Continuity of Care Across Specialties
    Seamless transition from emergency intervention to inpatient care and long- term follow-up, ensuring holistic patient-centered outcomes.
Quality, safety and evidence based practice
  • Adherence to International Clinical Guidelines
    All diagnostic and therapeutic interventions are performed in accordance with established national and international neurovascular guidelines to ensure optimal patient outcomes.
  • Robust Safety & Quality Assurance Protocols
    Implementation of standardized procedural checklists, radiation safety measures, infection control practices, and continuous outcome monitoring to maintain the highest standards of care.
  • Commitment to Continuous Improvement & Research
    Active participation in clinical audits, academic research, and ongoing professional development to integrate the latest evidence and technological advancements into clinical practice.

Aims & Objectives

  • Deliver high quality neurovascular care
  • Ensure rapid stroke management
  • Promote minimally invasive treatment
  • Enhance patient safety and outcomes
  • Encourage multidisciplinary collaboration
  • Adopt advanced technology and innovation
  • Ensure ethical and patient centered care
  • Continuous quality improvement
cardiology-dia
cardiology-dia
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Treatment

STROKE MANAGEMENT

  • Mechanical thrombectomy for acute ischemic stroke
  • Intra-arterial thrombolysis
  • Emergency endovascular stroke interventions (24X7)

ANEURYSM TREATMENT

  • Endovascular coiling
  • Stent assisted coiling
  • Flow diverter placement

ARTERIOVENOUS MALFORMATIONS (AVMs) AND FISTULAS

  • Endovascular embolization of cerebral and spinal AVMs
  • Treatment of dural arteriovenous fistulas

CAROTID AND INTRACRANIAL ARTERY DISEASE

  • Carotid artery stenting
  • Intracranial angioplasty and stenting

SPINAL VASCULAR DISORDERS

  • Diagnosis and embolization of spinal AVMs and fistulas
  • Image-guided biopsies and therapeutic procedure

OTHER NEURO-INTERVENTIONAL PROCEDURES

  • Digital subtraction angiography (DSA)
  • Treatment of cerebral venous thrombosis
  • Management of traumatic vascular injuries
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Facilities

All healthcare solutions under one roof

  • Daycare Services
  • 24X7 Pharmacy
  • 24X7 Clinical Laboratory Services
  • 24X7 Ambulance
  • OPD procedure
  • Health Checkups
  • 24X7 Radiology & Imaging Services
  • MRI Machine – Advanced 1.5 Tesla MRI
  • CT Scan – 16 Slice CT scan
  • Computerized Radiography (CR) System
  • Ultrasound
  • X-ray
  • Doppler Studies 24X7 Emergency & Critical Care Facilities 24 Hours Emergency & Level 1 Trauma Services with state of art emergency unit with a dedicated triage area trauma bay and cardiac emergency unit. Equipped with Ventilators, cardiac monitors, defibrillators, and other point-of-care testing equipment (POCT); Mobile X-ray unit, ABG, round-the-clock Radiology, pathology, and pharmacy.
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  • Strict infection control policies and protocols.
  • Collaborative and comprehensive super specialists team comprising of Neuro, Cardio, Ortho, Nephron, Vascular, Plastic, Gastro, Urologist, critical care, and intensivists. ICU, HDU, CCU, NICU/PICU
  • 60 fully equipped state-of-the-art intensive care beds with wall panels.
  • Dedicated cardiac intensive care floor comprising of cardiac OT complex, Cath lab, CCU, and ICU.
  • Dedicated neonatal intensive care unit (NICU) and Pediatric intensive care unit (PICU) with state of art infant incubators, monitors, and ventilators.
  • A qualified, experienced, and talented team of Anesthetists/ Intensivists for 24/7 services
  • Trained, Experienced, and caring nursing and technical staff.
  • Bedside X-ray, USG, ABG, infusion pumps, defibrillators, and dialysis points. Medtronic O-arm system is an intraoperative 2D/3D imaging system that is designed to meet the workflow demands of the surgical environment. It can be used in variety of procedures including spinal fixation and fusion and cranial procedures. Advanced Surgical Solutions Along with StealthStation navigation, the O-arm system provides enhanced 3D 360* visibility and surgical feedback. It also:
  • Provides current patient data in the OR enables advanced surgical approaches like MIS
  • Provides additional information in challenging procedures, like heavier patients or patients with unusual anatomy1,2,3
  • Automatic registration keeps the process simple the O-arm system also offers options for workflow efficiencies, such as:
  • In procedures where pre-op axial/coronal/sagittal slice data is necessary, it may be possible to use the O-arm system to provide the initial data set
  • Eliminating the need to send patients to be scanned in radiology
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Our Associated Doctors

Management Team
Dr. Madan Mohan Gupta

Professor & Head

Experience12 years

QualificationMBBS, MD, DM (Neurointervention)

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FAQs

Neuro-intervention is a specialized branch of medicine that treats diseases of the brain, spine, and blood vessels using minimally invasive, image-guided procedures instead of open surgery.

Neuro-intervention treats conditions such as stroke, brain aneurysms, arteriovenous malformations (AVMs), carotid artery disease, spinal vascular disorders, and certain brain tumors.

Neuro-intervention uses catheter-based techniques inserted through a small puncture (usually in the groin or wrist), avoiding large surgical incisions and resulting in faster recovery and reduced risk.

Yes. Neuro-interventional procedures are evidence-based and widely practiced. They are performed by trained specialists using advanced imaging and safety protocols to minimize risks.

Patients with acute stroke, aneurysms, abnormal brain or spinal blood vessels, or narrowed arteries may benefit from neuro-interventional procedures after specialist evaluation.

Yes. Many neuro-interventional procedures, especially acute stroke treatment, are medical emergencies. Our department provides 24×7 emergency services.

Recovery is usually faster than open surgery. Most patients can resume normal activities within a few days, depending on the condition and procedure performed.

In many cases, neuro-intervention eliminates the need for open surgery. However, some patients may require combined care with neurosurgery.

Neuro-interventional procedures are usually done under local anesthesia or general anesthesia, and patients experience minimal discomfort.

Hospital stay depends on the procedure and patient condition. Many patients are discharged within 1–3 days, while emergency cases may need longer observation.

Yes. Our Neuro-Intervention Department provides round-the-clock stroke care, including nights, weekends, and holidays.

Procedures are performed by trained neuro-intervention specialist Dr. Madan Mohan Gupta in collaboration with neurologists, neurosurgeons, anesthetists, and critical care teams.

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