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Dr. Suresh Giragani Senior Consultant Interventional Radiologist

Dr. Suresh Giragani

Dr. Suresh Giragani

Department: Interventional Radiology
Designation: Senior Consultant Interventional Radiologist
Years Of Experience: 15
Location: Secunderabad
Languages: English, Hindi, Telugu
Med Reg No: 54320
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Dr. Suresh Giragani, Consultant Interventional Radiologist at Yashoda Hospitals, has more than twelve years of clinical experience in vascular interventions with a special interest in neurovascular and peripheral vascular interventional procedures. He has done his post graduation as well as superspecialization training in neurointervention and interventional radiology at post graduate institute of medical education and research(PGIMER), Chandigarh. With experience of more than 1000 cases of advanced intracranial neurointerventions and more than 3000 cases of body vascular interventions, he has successfully performed wide range of complex vascular interventions including flow diverter placement for intracranial aneurysms, transjugular intrahepatic portosystemic shunt (TIPSS) and aortic stent graft placement.

Education Qualifications

Education Qualifications

  • 2012: DM- Neuroradiology and Interventional Radiology- Post graduate Institute of Medical Education and Research, Chandigarh
  • 2009: MD Radiodiagnosis - Post graduate Institute of Medical Education and Research, Chandigarh
  • 2005: MBBS - Osmania Medical College
ExperienceExperience
  • 2013- present- Consultant Interventional Radiologist
  • 2012-2013- Assistant Professor, Department of Neuro and Vascular Interventional Radiology, SRMC, Chennai
Services offeredServices offered
  • NEUROVASCULAR
    • Mechanical thrombectomy for acute stroke
    • Intracranial aneurysm coiling- Balloon assisted/ stent assisted
    • Flow diverter placement for intracranial aneurysms
    • Intracranial AVM/ Dural AVF embolization
    • Carotico cavernous fistula occlusion
    • Carotid stenting for carotid stenosis
    • Intracranial stenting for basilar artery, ICA, MCA
    • Balloon occlusion test
    • Preoperative embolization of meningioma and skull base hypervascular tumors
    • Embolization of spinal AVMs
  • GASTROINTESTINAL
    • Percutaneous transhepatic biliary drainage (PTBD)
    • PTBD- metal stent (SEMS) for benign and malignant strictures
    • Transjugular intrahepatic portosystemic shunt (TIPSS)
    • Direct intrahepatic portosystemic shunt (DIPSS) for Budd Chairi syndrome
    • IVC/ Hepatic vein stenting for Budd chairs syndrome
    • Embolization for GI bleed/ aneurysms pseudoaneurysms
    • Portal vein embolization (PVE)
    • Transjugular liver biopsy (TJLB)
  • ONCOLOGICAL
    • Transarterial chemoembolization (TACE) for hepatocellular carcinoma
    • Transarterial radioembolization (TARE) for hepatocellular carcinoma and metastatic liver cancer
    • Radiofrequency and microwave Ablation therapy for HCC
    • Radiofrequency ablation therapy for metastatic liver tumor
    • RF ablation for osteoid osteoma
  • PERIPHERAL VASCULAR DISEASE AND VENOUS DISEASE
    • Stenting, angioplasty for peripheral arterial blocks/ stenosis
    • Varicose veins - RF/ Laser ablation
    • Thrombolysis thrombectomy for peripheral arterial thrombosis
    • Thrombolysis thrombectomy for DVT/ stenting for May Thurner syndrome
    • IVC filter placement
    • TEVAR/ EVAR -AORTIC STENT GRAFT- for aortic aneurysm/ aortic dissection
  • NEPHROLOGY & UROLOGY
    • Prostatic artery embolization for BPH
    • Embolization for varicocele
    • Dialysis access complications – fistuloplasty/venoplasty
    • Permcath placement for dialysis
    • RCC- RF ablation
    • PCN (Percutaneous nephrostomy)
  • GYNECOLOGICAL DISORDERS
    • Uterine fibroid embolization
    • Uterine artery embolization for placenta accreta/ percreta
  • ENDOCRINOLOGY
    • IPSS ( Inferior petrosal sinus sampling), Adrenal venous sampling, Thyroid nodule ablation
  • OTHERS
    • Pulmonary AVM embolization
    • Embolization and sclerotherapy for vascular malformations and peripheral AVMs
    • Embolization for Juvenile Nasopharyngeal angiofibroma
    • Bronchial artery embolization
Special Interest and ExpertiseSpecial Interest and Expertise
  • Stroke interventions
  • Interventions for aneurysms and AVMs
  • Interventions in Portal hypertension and HCC
  • Interventions in peripheral vascular disease
Professional MembershipProfessional Membership
  • Member of Society of Therapeutic Neurointerventions (STNI)
  • Member of Society of Interventional Oncology (SIO)
  • Member of Indian society of Vascular and Interventional Radiology (ISVIR)
  • Member of Indian society of Neuroradiology (ISNR)
  • Member of International society for Magnetic Resonance in Medicine (ISMRM)
  • Member of Indian Radiological Imaging Association (IRIA)
Research & PublicationsResearch & Publications
  • Giragani S, Komal RNK, Potluri A, Sharma VK. Bilateral Symptomatic Carotid Free Floating Thrombi. Neurol India. 2021 May-Jun;69(3):770-771. PMID: 34169892.
  • Giragani S, Kasireddy AR, Balasubramaniam A, Agrawal V, Muthyala S.Intraoperative Transcranial Embolization following Decompressive Craniectomy for a Dural Arteriovenous Fistula Presenting with Acutely Raised Intracranial. Pressure. Asian J Neurosurg. 2020 Dec 21;15(4):1006-1010. PMID: 33708678
  • Jariwala P, Giragani S, Maturu VN. Congenital isolated unilateral hypoplasia of the left pulmonary artery: A rare incidental anomaly in an elderly female. Lung India. 2021 Jan-Feb;38(1):86-87. PMID: 33402645
  • Jariwala P, Irlapati RV, Giragani S, Shaikh S. Percutaneous transluminal angioplasty of complex aortoiliac occlusive disease secondary to Takayasu’s aortoarteritis in a young female. Indian J Radiol Imaging. 2020 Jul- Sep;30(3):405-408. PMID:33273781
  • Giragani S, Kumar Rn K, Kasireddy AR, Alwala S. Bilateral Internal Carotid Artery Agenesis and Posterior Circulation Stroke: A Rare Association. J Stroke Cerebrovasc Dis. 2020 Dec;29(12):105342. PMID: 33039767
  • Giragani S, Kasireddy AR, Rao MV, Deevaguntla CR. Seeing beyond the gut: An unusual cause of massive hematemesis. J Postgrad Med. 2020 Jan-Mar;66(1):45-47. PMID: 31929311
  • Chatur C, Balani A, Kumar A, Alwala S, Giragani S. "Double Doughnut" Sign - Could it be a Diagnostic Marker for Dengue Encephalitis? Neurol India. 2019 Sep- Oct;67(5):1360-1362. PMID: 31744977
  • Giragani S, Balani A, Mallu GR, Yedlapati G, Maturu VN, Babu VL, Alwala S. Endovascular glue embolization for control of massive hemoptysis caused by peripheral pulmonary artery pseudoaneurysms: Report of 7 cases. Lung India. 2019 Jan-Feb;36(1):8-13. PMID: 30604699;
  • Giragani S, Pavunesan SK, Balasubramaniam A, Agrawal V, Alwala S, Kumar A.Rete mirabile of posterior inferior cerebellar artery: A rare cause of subarachnoid hemorrhage. Interv Neuroradiol. 2018 Dec;24(6):662-665. Epub 2018 Jul 4. PMID: 29973082;
  • Giragani S, Balani A, Reddy V, Bommakanti KT, Alwala S, Kumar A. Spontaneous Isolated Inferior Mesenteric Artery Dissection With Chronic Mesenteric Ischemia:Case Report and Endovascular Management. Vasc Endovascular Surg. 2018 Oct;52(7):561-564. PMID:29716480.
  • Giragani S, Pavunesan SK, Balasubramaniam A. Targeted endovascular treatment of hemorrhagic posterior fossa proliferative angiopathy. Interv Neuroradiol. 2018 Aug;24(4):440-443. PMID:29554843.
  • Giragani S, Balani A, Prabakar D, Reddy V. Comment on: Percutaneous retrograde approach for mesenteric revascularization in chronic mesenteric ischemia. Indian J Radiol Imaging. 2017 Jul-Sep;27(3):363-365. PMID: 29089691
  • Giragani S, Balani A, Agrawal V. Stentriever thrombectomy with distal protection device for carotid free floating thrombus: a technical case report. J Neurointerv Surg. 2017 Aug;9(8):e33. PMID: 28122915.
  • Giragani S, Balani A, Agrawal V. Stentriever thrombectomy with distal protection device for carotid free floating thrombus: a technical case report. BMJ Case Rep. 2017 Jan 18;2017:bcr2016012904. PMID: 28100568;
  • Vyas S, Giragani S, Singh P, Bansali A, Khandelwal N. Superficial siderosis.Ann Indian Acad Neurol. 2011 Jan;14(1):58-9. PMID:21655210
  • Singhal M, Giragani S, Lal A, Sharma A, Khandelwal N. An unusual cause of hemoptysis: costocervical trunk pseudoaneurysm. Emerg Radiol. 2011 Jan;18(1):53-5. PMID: 20927565.
  • Vyas S, Giragani S, Singh P, Khandelwal N. Ruptured spinal dermoid with central canal and intraventricular extension. Neurol India. 2010 Jul- Aug;58(4):678-9. PMID: 20739830.
  • R. N Komal Kumar, Anvita Potluri, Suresh Giragani. A Case of Dural A-V Fistula with Bilateral Thalamic Hyper-intensity. Neurology Apr 2019, 92 (15 Supplement) P5.3-021
  • Jariwala P, Giragani S. Supravalvular Aortic Stenosis with Extensive Atherosclerosis and Fatal Premature Coronary Artery Disease Secondary to Homozygous Familial Hypercholesterolemia – So Early But Too Late!!. J Indian Acad Echocardiogr Cardiovasc Imaging 2020;4:223-4
  • Hudge SB, Vankayalapati S, Girgani S, Anasuri S, Kola MK. A rare case of combined bilateral persistent sciatic artery with unilateral pseudoaneurysm. Indian J Vasc Endovasc Surg 2017;4:69-72
  • Ramineni KK, Jakkani RK, Girgani S, Balani A, Satyanarayan S. Triptan-induced Reversible Cerebral Vasoconstriction Syndrome Presenting With Thunderclap Headache and Paraparesis. Neurologist. 2018 Sep;23(5):160-162. PMID: 30169369.
Awards and AchievementsAwards and Achievements
  • Academic
    • Program director for a structured fellowship program in Vascular Interventional Radiology and trained many students successfully under this fellowship program since 2016.
    • Conducted the biennial international conference on stroke interventions - MASTER ( Management of Acute Stroke Thrombolysis and Endovascular Interventions) series - MASTER 2016, MASTER 2019 in Hyderabad
    • Best paper award for paper presented on POST TRANSPLANT HEPATIC ARTERY INSUFFICIENCY IMAGING AND INTERVENTION: A SERIES OF 6 CASES in Society of emergency Radiology, National conference-2018
    • Best oral paper award for paper presented on “Endovascular management of very small intracranial aneurysms”- in ISVIR national conference - 2018
    • 2nd Prize for Poster for poster presented on “Oronasal approaches of CT guided biopsy for skull base lesions” in ISVIR national conference- 2018
    • Best poster award for poster presented on “Interventional management of visceral artery dissection in SLE” in IRACON 2017
    • 2nd Prize in FRS/ Quiz in ISNR 2009
    • Secured state 1st rank in state premedical entrance test -EAMCET in year 1999 ( Given State Govts Prathibha Scholarship for the achievement).
    • Secured all India 1sr rank in postgraduate entrance examination for entry into prestigious PGIMER, Chandigarh in June 2006, scored all India 2nd rank in entrance exam for super speciality course in DM Neuroradiology and Interventional Radiology at PGIMER, Chandigarh in June 2009.
    • Nandamuri Award (in year 1995) for passing 10th standard (SSC) at a young age of 11 yrs.
  • Clinical
    • First to treat 150 patients of acute stroke by mechanical thrombectomy procedure in the states of Telangana and AP
    • Completed endovascular Interventions in 350+ brain aneurysms ( including flow diverter stent placement and complex coiling procedures) , 200+ carotid stenting procedures for symptomatic carotid stenosis, Embolization for 100+ brain and spinal AVMs, 50+ intracranial stenting procedures for intracranial atherosclerotic disease.
    • Completed 100+ cases of TIPSS ( transjugular intrahepatic portosystemic shunt) procedures in the treatment of portal hypertension in chronic liver disease.
MediaMedia
  • Dr. Suresh Giragani, Consultant Interventional Radiologist
  • Dr. Suresh Giragani, Consultant Interventional Radiologist
  • Dr. Suresh Giragani, Consultant Interventional Radiologist
  • Dr. Suresh Giragani, Consultant Interventional Radiologist
  • Brain stroke fears now reduced - Dr RN Komal kumar Dr Suresh giragani
VideosVideos

Brain Stroke Treatment- Dr. Suresh Giragani

Mechanical Thrombectomy - Dr. Suresh Giragani, Interventional Radiologist

Blogs by Dr. Suresh Giragani

Flow Diverter Stents

Flow Diverter Stents

Aug 06, 2021 15:35

Intracranial/ brain aneurysms are if ruptured can be fatal or can cause significant morbidity that can limit the quality of life. With the advent of newer endovascular techniques, these aneurysms now can be treated safely with durable efficacy.

Read More..

Portal hypertension and TIPS (Transjugular Intrahepatic Portosystemic Shunt)

Portal hypertension and TIPS (Transjugular Intrahepatic Portosystemic Shunt)

Feb 13, 2020 17:29

Transjugular intrahepatic portosystemic shunt (TIPS) is a minimally invasive endovenous procedure that involves the creation of a low-resistance channel between the hepatic vein and the part of the portal vein within the liver.

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Treating varicoceles without surgery

How to treat varicoceles without surgery?

Jan 17, 2020 15:41

Technological advances like embolization techniques now provide alternative ways to a surgical procedure with comparable results. When diagnosed with a varicocele, embolization is a good alternative to surgery for the right candidate.

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Minimally invasive interventional radiology therapies for liver cancer

Minimally invasive interventional radiology therapies for liver cancer

Nov 23, 2019 10:50

Interventional radiology procedures such as TACE, TARE and tumor ablation are now available for inoperable liver cancers.

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Case Studies by Dr. Suresh Giragani

Giant Splenic Artery Aneurysm Treated by (spleen Sparing) Endovascular Embolization

Giant Splenic Artery Aneurysm Treated by (Spleen Sparing) Endovascular Embolization

Oct 09, 2020 16:10
Background A 48 year old female presented with dull aching epigastric pain which aggravated since last 4 days. Diagnosis & Treatment On evaluation, USG abdomen revealed an aneurysm in

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Symptomatic Carotid Near Total Occlusion Treated by Carotid Stenting

Symptomatic Carotid Near Total Occlusion Treated by Carotid Stenting

Sep 17, 2020 17:06
Background A 74 year old male presented with sudden onset slurring of speech and right sided weakness for 12 hrs. Diagnosis And Treatment MRI brain revealed acute infarct in left insula. MR

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Symptomatic Carotid Near Total Occlusion Treated by Carotid Stenting

Symptomatic Carotid Near Total Occlusion Treated by Carotid Stenting

Background A 69 year old male presented with right upper and lower limb weakness for 10 days. He had a history of recurrent Transient Ischemic Attacks (TIA) for 3 years. Diagnosis And

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Fluoroscopy Guided Removal of Dislodged IV Canula Shaft

Fluoroscopy Guided Removal of Dislodged IV Canula Shaft

Sep 09, 2020 15:36
Background A 55 year old male was admitted in the outside hospital for acute febrile illness. After 1 week of management, the patient was planned for discharge. During removal of IV canula

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Mechanical Thrombectomy for Acute Right Hemiparesis and Aphasia

Mechanical Thrombectomy for Acute Right Hemiparesis and Aphasia

Sep 05, 2020 10:01
Background A 20 year male presented to ER with complaints of right upper limb and lower limb weakness with a deviation of the mouth towards left, loss of speech and decreased comprehension since

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