THERE IS NOTHING MUCH TO WRITE FOR THE MONTH AS I AM SETTLING DOWN IN LUDHIANA AND GETTING USED TO THE WORK CULTURE HERE.WE RECENTLY DID A CATHETHER DIRECTED THROMBOLYSIS(CDT) FOR A 65 YEARS OLD MALE WHO PRESENTED WITH ACUTE RIGHT LOWER LIMB ISCHEAMIA. WE WERE NOT SURE WHETHER IT WAS AN EMBOLIC/INSITU THROMBOTIC EPISODE AND THEREFORE WENT AHEAD WITH CDT OF THE POPLITEAL ARTERY.THE PERFUSION OF THE LIMB IMPROVED AS TIME PASSED AND THE PULSES WERE RESTORED FINALLY.PATIENT HAD A BLEEDING EPISODE WHICH WAS MANAGED BY BLOOD TRANSFUSION .SURPRISINGLY WE DID NOT FIND ANY UNDERLYING LESION LIKE A POP.ANEURYSM OR PAD IN HIM.I WOULD HAVE LOVED TO DO THIS CASE IN THE OPERATION THEATRE WITH AN ENDOVASCULAR SUITE.WE DONT HAVE ONE RIGHT NOW BUT WOULD SOON BE EQUIPPED WITH THIS.THINGS WOULD BE ALOT EASIER THEREAFTER FOR THE SURGEON AND FOR THE PATIENT( IT WILL AVOID BIG INCISIONS) AS DECISION MAKING AND PROMPT STATE OF THE ART INTERVENTION WOULD BE POSSIBLE AND ACCESSIBLE. MOST OF THE VASCULAR CASES TODAY NEED HYBRID INTERVENTIONS(THE WAY ENDOVASCULAR SURGERY IS EXPANDING) AND THEREFORE ENDOVASCULAR SUITE IN THE OPERATION THEATRE IS A MUST ESP.FOR HOSPITALS WHO ARE CONCERNED WITH THEIR PROFESSIONAL STANDING.
