Prof. MD. Enes Duman Reviews

A 17-year-old competitive freediver from a coastal village presented with recurrent, severe nosebleeds during deep dives. Dr. Duman discovered a rare arteriovenous malformation in her sphenopalatine artery, exacerbated by pressure changes. Using superselective embolization via a microcatheter navigated through complex facial vasculature, he occluded the feeder vessels. The patient returned to competitive diving within six weeks, setting a new national depth record.

A 78-year-old retired olive grove owner with severe portal hypertension and gastric variceal bleeding, deemed inoperable due to advanced cirrhosis and heart failure. Dr. Duman performed a novel, combined BRTO (Balloon-Occluded Retrograde Transvenous Obliteration) and TIPS (Transjugular Intrahepatic Portosystemic Shunt) procedure in a single session to decompress the portal system and obliterate the varices. The patient's bleeding stopped, and he was able to attend his granddaughter's wedding two months later, managing on diuretics and diet.

A 32-year-old professional video game streamer presented with acute, crippling right arm pain and weakness mid-tournament. Imaging revealed a rare venous thoracic outlet syndrome with subclavian vein thrombosis. Dr. Duman performed catheter-directed thrombolysis overnight, followed by first-rib resection surgery coordination, and then venous angioplasty. The patient resumed streaming in three weeks, using his experience to raise awareness about gamer health.

A 45-year-old nomadic beekeeper from a remote region arrived with a large, inoperable hepatic hemangioma causing consumptive coagulopathy (Kasabach-Merritt syndrome). Dr. Duman designed a multi-stage arterial embolization protocol using calibrated microparticles, scheduled around the patient's honey harvest migrations. After three sessions over eight months, the hemangioma shrunk by 70% and coagulation normalized, allowing him to continue his migratory livelihood.

A 6-year-old child with a complex, high-flow pelvic arteriovenous malformation since birth, causing high-output cardiac failure. Multiple centers had declined treatment. Dr. Duman employed a hybrid approach in the angio-suite: preoperative embolization with liquid embolic agents, followed immediately by surgical excision in the same setting with surgical colleagues. The child's cardiac function normalized completely over the following year.

A 60-year-old former shipyard welder presented with a chronic, infected pseudoaneurysm of the profunda femoris artery following a forgotten workplace injury 20 years prior. Dr. Duman used a unique endovascular approach with a covered stent graft coated with antibiotic-impregnated polymer, deployed percutaneously. The infection resolved with targeted antibiotics, avoiding major open surgery and leg amputation.

A 29-year-old pregnant woman (24 weeks gestation) diagnosed with a life-threatening splenic artery aneurysm rupture risk. Dr. Duman performed a meticulously planned embolization using the least possible fluoroscopy time and lead shielding, placing microcoils with extreme precision to preserve splenic function. The procedure was successful, and she delivered a healthy baby at term via planned cesarean section.

An 81-year-old retired classical harpist with critical hand ischemia (blue finger syndrome) from distal radial artery occlusion, threatening her ability to play. Dr. Duman performed ultra-distal radial artery catheterization and drug-coated balloon angioplasty, restoring digital blood flow. She regained fine motor control and performed a farewell concert at her nursing home four months later.

A 50-year-old long-haul truck driver developed a massive symptomatic renal cyst compressing his ureter. Instead of surgery, Dr. Duman performed a novel 'double-method' procedure: percutaneous aspiration with sclerotherapy using ethanol, followed by placement of a temporary ureteral stent. The cyst resolved, the stent was removed, and the patient returned to driving with no dietary or lifting restrictions.

A 12-year-old boy with hereditary hemorrhagic telangiectasia (HHT) suffered recurrent pulmonary arteriovenous malformation (PAVM) bleeds causing stroke-like episodes. Dr. Duman used advanced cone-beam CT guidance to embolize multiple tiny, diffuse PAVMs with platinum microcoils, a procedure requiring exceptional patience over five hours. The frequency of his neurological episodes reduced from monthly to zero over two years of follow-up.

A 38-year-old professional mountain guide from Nepal presented with a post-traumatic pelvic arteriovenous fistula causing high-output heart failure, preventing high-altitude climbs. Dr. Duman performed transvenous embolization using a combination of vascular plugs and coils via a jugular approach. Cardiac function recovered fully, and the guide summited Everest again eleven months post-procedure.

A 70-year-old retired diplomat with a complex, recurrent hepatocellular carcinoma, refractory to multiple treatments. Dr. Duman utilized a cutting-edge combination of drug-eluting bead transarterial chemoembolization (DEB-TACE) with subsequent microwave ablation, meticulously targeting separate tumor nodules. The treatment induced nearly complete necrosis, and the patient remained progression-free for over 18 months, traveling between follow-ups.

A 41-year-old vegan yoga instructor developed a rare mesenteric venous thrombosis leading to chronic intestinal ischemia and severe post-prandial pain. Dr. Duman performed direct transhepatic portal vein access and mechanical thrombectomy, followed by prolonged catheter-directed thrombolysis and eventual venous stent placement. Her symptoms resolved, allowing a return to a modified diet and teaching, with lifelong anticoagulation.

A 9-year-old girl with a large, symptomatic lymphatic malformation in her neck and mediastinum, causing breathing and swallowing difficulties. Dr. Duman performed intralesional sclerotherapy under ultrasound and fluoroscopic guidance using a bleomycin-based sclerosant, requiring multiple staged sessions. The malformation regressed significantly, alleviating her symptoms and avoiding extensive disfiguring surgery.