RARE & DIFFICULT SURGERIES
A Story of Hope & Recovery: Saving a Life from a Ruptured Brain Aneurysm at Onus Robotic Hospital*
*The Challenge*
When a 36-year-old farmer was admitted to Onus Robotic Hospital, his condition was critical. He had been experiencing severe headaches for two days, and further tests revealed a ruptured vertebral artery aneurysm
A rupture of this kind often leads to catastrophic bleeding known as subarachnoid hemorrhage (SAH). Globally, nearly 50% of patients with a ruptured aneurysm die, and many survivors are left with long-term disabilities. In this case, the aneurysm was adjacent to brainstem. Because of its location, open brain surgery was impossible. The only viable and safe approach was a minimally invasive procedure.
*The Diagnosis*
Upon arrival, emergency imaging was carried out:
- MRI brain revealed extensive subarachnoid hemorrhage and Intraventricular hemorrhage.
- CT cerebral angiography precisely identified the ruptured aneurysm in the intracranial vertebral artery at the posterior region of the brain.
This diagnosis confirmed the urgency — there was a 70% chance of rebleeding, which would almost certainly be fatal without intervention.
*The Advanced Neuro Intervention Treatment*
The Neurointervention Team led by Dr. Surya Teja Reddy, Interventional Neuroradiologist, Dr. Manoj Vasireddy, Interventional Neurologist and Dr.P Ravi kiran, Sr. General Physician & Medical Director at Onus opted for a state-of-the-art Endovascular approach.
- Instead of open brain surgery, access was gained through the femoral artery in thigh.
- A flow diverter stent — a fine mesh tube — was deployed across the aneurysm. This device redirected blood flow away from the fragile
bulge, allowing the artery wall to heal naturally while maintaining normal blood supply to the brain.
*The Outcome*
The procedure was uneventful and highly successful.
- The patient was monitored in the Neuro ICU for 48 hours to prevent complications such as vessel spasm etc.
- Recovery progressed steadily, with speech, movement, memory, and confidence returning to normal.
- Follow-up scans confirmed the stent was functioning perfectly.
- Within few days, the patient resumed his daily life and returned to his family and livelihood.
*The Takeaway*
This case exemplifies how technology, expertise, and teamwork can transform a near-fatal emergency into a story of hope.
At Onus Robotic Hospital, advanced imaging, advanced neurovascular cath lab, robotic technology and skilled interventionists enable life-saving treatment for conditions that were once considered untreatable.
Onus Robotic Hospitals has successfully treated a rare and life-threatening case of May-Thurner Syndrome with extensive Deep Vein Thrombosis (DVT) in a 58-year-old female patient.
The patient presented with severe swelling in her left lower limb, and further evaluation with Doppler Ultrasound and CT Venogram confirmed the diagnosis.
The condition carried a high risk of Pulmonary Embolism, which can be fatal, as well as Post-Thrombotic Syndrome, which can lead to long-term disability. Recognizing the urgency, the expert vascular team at Onus Robotic Hospitals performed a minimally invasive endovascular procedure involving thrombectomy via angioplasty, catheter-directed thrombolysis with Alteplase, and stenting at
the iliac vein crossover.
The procedure was successful and uneventful, with immediate restoration of venous flow and significant reduction in swelling. The patient was discharged in stable condition. This achievement highlights the hospital’s commitment to advanced technology, medical expertise, teamwork, and patient-centered care in tackling complex vascular emergencies.