Dr Lakshmi Kumar Chalamarla

Consultant Senior Interventional Radiologist and Abdominal Imaging Specialist

Dr. Lakshmi Kumar Chalamarla is a senior interventional radiologist and abdominal imaging specialist, having 10+ years of experience. He has worked as a consultant interventional radiologist at multiple hospitals in Ahmedabad and Hyderabad. He has special interest in liver, pancreas, gall bladder, bile duct, nephro (kidney), varicose vein interventions and abdominal imaging. He is a European Board certified interventional radiologist. 

He is trained in interventional radiology from Institute of Liver and Biliary sciences, New Delhi, which is an international centre of excellence for diagnosis and management of liver and biliary diseases. He learned varicose vein interventions from AIIMS, New Delhi. He has also done Fellowship in Abdominal Imaging from ILBS. He has experience in performing thousands of endovascular and non-vascular interventions.

• MBBS
• DNB Radiology
• PDCC fellowship (Abdominal Imaging)
• PDCC fellowship (Interventional Radiology)
• EBIR (European Board of Interventional Radiology)
  

• 75271 Telangana State Medical Council

Memberships

• Member of Indian Society of Vascular and Interventional Radiology
• Member of Society of Interventional Radiology
• Member of Asia Pacific Society of Cardiovascular and Interventional Radiology
• Member of Cardiovascular and Interventional Radiology Society of Europe
• Member of Indian Radiological and Imaging Association

Awards and Recognitions

• Gold medallist
• Best student award form ILBS
• First prizes in various CMEs
• Secured top rank in PG entrance exam
• Best oral paper presentation award
  

Interventional Procedures Performed

Liver related

• TIPS (Trans jugular Intrahepatic Portosystemic Shunt), DIPS (Direct Intrahepatic Portosystemic Shunt) for refractory ascites / variceal bleeding in patients with liver cirrhosis / Budd-Chiari syndrome
• BRTO (Balloon-Occluded Retrograde Trans venous Obliteration) for gastric varices, hepatic encephalopathy
• TACE (Transarterial Chemoembolization) for liver tumors
• TARE (Transarterial Radioembolization) for liver tumors
• Radiofrequency / Microwave ablation for liver tumors 
• Portal vein embolization for pre operative patients with liver tumor
• Post liver transplant interventions (Vascular and non vascular)
• IVC (inferior vena cava), hepatic vein angioplasty/stenting for Budd-Chiari syndrome
• Post liver trauma pseudoaneurysms / aneurysms embolization
• HVPG (Hepatic venous pressure gradient) for liver pressure measurement
• TJLB (Transjugular Liver Biopsy) for high bleeding risk patients
• Liver abscess percutaneous drainage
• Liver biopsy for diffuse or focal liver diseases or liver tumors

Pancreas and intestine related

• Gastrointestinal bleeding (including pancreatitis related pseudoaneurysm, visceral artery aneurysms) embolization
• Thrombolysis / stenting for mesenteric or liver ischemia (SMA stenosis / thrombosis / portal vein or mesenteric vein thrombosis)
• Pancreatic collections drainage and percutaneous necrosectomy
• Percutaneous gastrostomy, gastrojejunostomy

Gall bladder and bile ducts related

• Percutaneous cholecystostomy for acute gall stone related cholecystitis
• PTBD (Percutaneous transhepatic biliary drainage) for bile duct obstruction due to stones/tumors/post hepaticojejunostomy strictures/other bile duct strictures
• Biliary brush cytology
• Biliary stenting

Splenic artery embolization

• For hypersplenism, splenic artery aneurysms, pseudoaneurysms, left sided or sinistral portal hypertension

Nephro / Urology / Kidney / Ureter / Prostate / Male infertility / Varicocele related

• Renal artery stenting
• Angiomyolipoma embolization
• Renal aneurysms / post renal trauma arterial embolization
• Post renal transplant interventions (Vascular and non vascular)
• Dialysis fistula interventions (fistuloplasty)
• Central venous angioplasty / stenting for subclavian or brachiocephalic or innominate veins in dialysis patients
• Percutaneous nephrostomy for pelvicalyceal obstruction
• Antegrade ureteric stenting
• Prostate artery embolization for BPH (benign prostatic hypertrophy)
• TJKB (Transjugular Kidney Biopsy)
• Varicocele embolization
• Permcath insertion (Jugular/Subclavian/Femoral)
• TRUS guided prostate biopsy to rule out prostate cancer
• Prostate or renal abscess drainage

Chest / Lung related

• Bronchial artery embolization for patients with blood in sputum on coughing (hemoptysis)
• Pulmonary thromboembolism - thrombolysis
• Pulmonary AVM / aneurysm embolization

Women / Gynaecology related

• Uterine artery embolization for fibroids, adenomyosis, uterine AVMs (arterio venous malformations), post partum hemorrhage, placenta acreta, placenta percreta, trophoblastic disease
• Breast tumor or cancer biopsy
• Pre operative breast tumor wire localisation

Oncology / Cancer / Tumor related

• Liver tumors Ablation / TACE / TARE
• Renal tumors Ablation / Embolization
• Bone (e.g. osteoid osteoma) and soft tissue tumor Ablation / Embolization
• Thyroid nodules ablation
• PICC line insertion
• Chemoport insertion
• Ultrasound / CT guided biopsies for lung, liver, breast, kidney, pancreas, adrenal, other abdominal tumors, bone, soft tissue tumors

Peripheral vascular / arterial / venous / varicose veins / diabetic foot related

• Varicose vein interventions (Laser ablation, RFA ablation, superglue)
• Deep vein thrombosis - thrombolysis
• IVC filter placement
• Diabetic foot (Angioplasty / Stenting)
• Arteriovenous malformations / Lymphatic malformations - Sclerotherapy / Embolization

Musculoskeletal or bone or joints related 

• Ultrasound guided joint injections
• Vertebral and bone biopsies,
• Bone or soft tissue tumor Ablation or Embolization, 
• Ultrasound guided Nerve blocks
• Percutaneous osteoplasty or vertebroplasty for vertebral body compression fractures

Percutaneous drainage/lines/biopsies/FNAC

USG/Ultrasound/Fluoroscopy/DSA/CT Guided Interventions

Publications

• Patidar Y, Chalamarla LK, Mukund A, Rastogi A, Sharma MK. Comparative Study of Ultrasound-guided Percutaneous Omental Biopsy in Cirrhotics and Noncirrhotics. J ClinExpHepatol. 2020 May-Jun;10(3):194-200. doi: 10.1016/j.jceh.2019.10.003.
• Mukund A, Chalamarla LK, Singla N, Shasthry SM, Sarin SK. Intractable hepatic encephalopathy in cirrhotic patients: mid-term efficacy of balloon-occluded retrograde portosystemic shunt obliteration. EurRadiol. 2020 Jun;30(6):3462-3472. doi: 10.1007/s00330-019-06644-4.
• Pal P, Iqbal AA, Chalamarla LK, Kamireddy A, Singh JR, Reddy DN. Kommerell's Diverticulum Found Incidentally on Upper Endoscopy during Investigation of Dyspeptic Symptoms. J Clin Gastro Hepatol Res. 2021;3(1):109.
• Chalamarla LK and Mukund A. Interventions in Pancreatitis: Management of Vascular Complications. In: Mukund A, editor. Basics of Hepatobiliary Interventions. 1sted [book on the Internet]. Singapore: Springer Nature; 2021: p.71-82.doi:10.1007/978-981-15-6856-5. 
• Available from: https://www.amazon.com/Basics-Hepatobiliary-Interventions-Amar-Mukund/dp/9811568553