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Stenting procedure grants patient new lease of life
By a Staff Reporter June 11, 2017
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DUBAI: A UAE resident has successfully undergone a rare vertebral and internal carotid artery stenting procedure at Zulekha Hospital in Dubai to enhance his quality of life.

Muhammed Najeeb, 53, complained of long-term dizziness and pain in his legs for a year caused by the abnormal narrowing of his dominant right vertebral artery at its origin, and in the left internal carotid artery. The debilitating condition meant that Najeeb was unable to walk a distance of over 100 metres and relied on his family for round-the-clock care. The risk factors that predominantly caused this were smoking, high cholesterol and diabetes along with having a family history of the condition.

Dr Anil Bansal, Consultant Interventional Cardiologist at Zulekha Hospital in Dubai, part of Zulekha Healthcare Group, which is the oldest and leading private healthcare provider in the UAE, met with Najeeb and he underwent an angiogram to identify the issue. On receiving the results, Dr Bansal first administered a stent in the left common iliac artery which was a procedure lasting over an hour. This ensured immediate relief and respite from the pain Najeeb was experiencing. Another stent was then administered to the right vertebral artery. The following day, the doctor administered a stent into the left internal carotid artery.

Najeeb explained: “I was unable to walk 100 metres as my leg would suffer terrible pain which greatly impacted my quality of life for a  year. Following my surgery, I am beyond grateful for the expert advice I received from Dr Bansal who effectively saved my life and made a huge difference to my family. The support and care provided by the team at Zulekha Hospital has been world-class.”

Prior to his life enhancing procedure, Najeeb had visited multiple doctors complaining of the condition and was treated with common stenting procedures. He had been living with the pain without medication for relief and resulted in a diminished quality of life.

Dr Bansal added: “Najeeb’s condition required him to undergo a rare stenting procedure which could not be treated by more common alternatives. We are delighted to have been able to drastically improve his quality of life through this unique treatment, and are encouraged by Najeeb’s decision to quit smoking that could prevent further complications and health implications.

“We aim to continue treating UAE residents – who may have given up hope of viable solutions for debilitating conditions – with rare, life-changing treatments that enhance the quality of life for the country’s residents.”

Carotid stenting may be beneficial in acute ischaemic stroke treatment because deployment of a stent with or without angioplasty establishes immediate patency of the carotid lesion preventing vessel recoil and secures continuous catheter access to the intracranial vessels.

It stabilises and protects the endothelium preventing iatrogenic (caused by medication) dissection of the vessel wall. Furthermore, acute stenting ensures ample blood flow to the intracranial vasculature, especially in case of contralateral carotid lesions or unfavourable anatomy of the circle of Willis (collection of arteries that supplies blood to the brain), and may assist intracranial recanalisation.

 As post-operative care, the patient will continue to take blood thinning medicines to avoid any pre-existing symptoms and prevent future strokes.
 

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