1. MECHANICAL THROMBECTOMY IN ACUTE STROKE- The management of acute stroke has revolutionized with the advent of mechanical thrombectomy. It involves aspiration or mechanical removal of clots using stent retrievers to restore the blood supply to the brain. Timely restoration of cerebral blood flow using reperfusion therapy is the most effective manoeuvre for salvaging ischemic brain tissue that is not already infarcted. There is a narrow window during which this can be accomplished, since the benefit of reperfusion decreases over time.

2. BRAIN ANEURYSM COILING- Aneurysms are abnormal focal dilatations of vessels which may rupture and lead to life threatening haemorrhage. Endovascular coiling is a minimally invasive technique, which means an incision in the skull is not required to treat the brain aneurysm. Rather, a catheter is used to reach the aneurysm in the brain. It also has a short hospital stay.

3. BRAIN AND SPINE AVM AND DURAL AVF MANAGEMENT- Endovascular embolization is a more recent technique for the treatment of arteriovenous malformations (AVM). During this treatment, we pass a catheter through the groin up into the arteries in the brain that lead to the AVM and inject a material into these arteries. This injection shuts off that artery and reduces the flow of blood through the AVM.Endovascular embolization by itself typically does not eliminate the AVM in all cases and is, therefore a single stage or multi-stage procedures or used as a preliminary step in preparation for either microsurgical resection or stereotactic radiotherapy to reduce the risks of life threatening intra-operative bleeding hemorrhage.

4. CAROTID ARTERY STENTING- It is done in patients with significant narrowing in the arteries supplying the brain. A stent is placed by endovascular technique to relieve the narrowing of the blood vessel and thus facilitate better blood flow to brain. It is also minimally invasive and has less morbidity.

5. EPISTAXIS EMBOLISATION- Nasal bleeding from arteries in the setting of trauma, inflammations, post partum, post surgery, tumoral bleeding etc can sometimes be life threatening. These bleeding arteries can be accessed via endovascular route through catheters from a small puncture in the groin or wrist artery and embolising or closing these arteries with a wide range of embolic material like coils, gelfoam or particles  to arrest the bleeding.