Clinical Improvement after Extracranial Venoplasty in Multiple Sclerosis

Hubbard, David; Ponec, Donald; Gooding, J. Justin; Saxon, Richard R.; Sauder, Heidi; Haacke, Mark

doi:10.1016/j.jvir.2012.07.010

Cited by 36 publications

(40 citation statements)

References 36 publications

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“…Most authors placed the venographic catheter at the skull base to perform the diagnostic jugular venograms [4,[6][7][8]12] (Fig. 1).…”

Section: Catheter Positionmentioning

confidence: 99%

“…There is minimal opacification of collaterals. Regarding to the use of manual injections versus power injections, some authors advocate the use of manual injections to avoid excessive pressure during injections, thus avoiding the unnecessary or "false" opacification of collaterals [8,9,14]. Other authors advocate the use of a power injector, with specific volumes of contrast and flow rates.…”

Section: Fig 1 Diagnostic Internal Jugular Venogrammentioning

confidence: 99%

“…According to these authors, the vascular occlusive lesions characteristic of CCSVI are truncular malformations that can be clearly demonstrated by selective catheter venography [5]. Since the inception of CCSVI [5], several venographic protocols to evaluate the jugular and azygos veins have been described in recent publications [1,4,[6][7][8][9][10][11][12]; however, none of these have been validated, and to the present time there is no venographic protocol that has been accepted as a standard in the evaluation of this condition [1,12].…”

Section: Introductionmentioning

confidence: 99%

“…Traboulsee et al and Veroux et al exclusively used the right femoral vein [4,12]. In other series, the access site was not specified [7][8][9]14]. The advantage of using the left femoral vein is the ability to evaluate the left iliac vein and the ascending lumbar veins; however, since these veins are not treated, some operators prefer the right femoral vein becuase Hector Ferral it facilitates access to the internal jugular veins and azygos veins, which are the treatment target veins [1].…”

Section: Introductionmentioning

confidence: 99%

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Review of catheter venography protocols in the evaluation of chronic cerebrospinal venous insufficiency

Ferral¹

2014

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Catheter venography has been considered to be the "gold standard" in the evaluation of venous pathology. Chronic cerebrospinal venous insufficiency (CCSVI) has recently been described as a condition characterised by the presence of multiple stenotic lesions of the main pathways of extracranial venous drainage, especially the internal jugular veins and the azygos vein. The primary screening diagnostic method to identify the venous lesions has been Doppler sonography. Once the abnormalities are identified by the non-invasive method, patients undergo catheter venography to confirm the presence of venous lesions with the aim of performing treatment, which has mainly been balloon angioplasty. Since the inception of CCSVI, several venographic protocols to evaluate the internal jugular and azygos veins have been described, but none of them have been scientifically validated. The purpose of this review is to analyse the most recent catheter venography protocols reported for the diagnosis and management of CCSVI. The materials and methods sections of the most recently published series describing catheter venography for the evaluation and management for CCSVI were reviewed. The technical details, including venous access selection site, catheter selection, ideal catheter position, contrast injection techniques, and interpretation of venographic findings, were reviewed. Comments on each of the technical factors are presented. Final comments with proposed techniques are presented.

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“…Most authors placed the venographic catheter at the skull base to perform the diagnostic jugular venograms [4,[6][7][8]12] (Fig. 1).…”

Section: Catheter Positionmentioning

confidence: 99%

Section: Fig 1 Diagnostic Internal Jugular Venogrammentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Review of catheter venography protocols in the evaluation of chronic cerebrospinal venous insufficiency

Ferral¹

2014

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“…Overall, according to the results of several studies available today, a significant effect of endovascular treatment of CCSVI on the objective neurological status has not been proven. On the other hand, a significant improvement of patients' (subjective) quality of life has been suggested in several studies [4,5,6]. The effect on the quality of life has been measured using various different instruments like the Multiple Sclerosis Quality of Life-54 instrument (MSQoL-54), the Multiple Sclerosis Impact Scale-29 (MSIS-29) and non-standardised questionnaires.…”

Section: Introductionmentioning

confidence: 99%

Cerebrospinal Venous Outflow in Multiple Sclerosis Patients versus Fatigue and/or Depression

et al. 2013

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Background: Endovascular treatment of impaired cerebrospinal venous outflow has been suggested to improve the overall quality of life in multiple sclerosis (MS) patients. Fatigue and depression are key factors in measuring the quality of life in MS patients. Objective: In the present study, we investigated the correlation between anomalous venous outflow and the seriousness of fatigue and depression in MS patients and healthy controls. Methods: Five cerebrospinal venous outflow parameters were measured in 20 MS patients and age- and sex-matched controls using extra- and transcranial Colour Doppler sonography. All patients and volunteers filled out the Fatigue Severity Scale (FSS) and Hospital Anxiety Depression Subscale (HADS). Results: Nine abnormal parameters were found in 8 MS patients, whereas five abnormal parameters were found in 3 healthy controls (no significant difference). Only 1 MS patient met the criteria for chronic cerebrospinal venous insufficiency compared to 2 healthy controls. No significant differences were found in the FSS and HADS scores between patients with and without abnormal cerebrospinal venous outflow parameters. Conclusions: We found no significantly impaired cerebrospinal venous outflow in patients with MS versus sex- and age-matched controls. Furthermore, we did not find any correlation between anxiety or depression and impaired venous outflow in MS patients.

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Percutaneous transluminal angioplasty for treatment of chronic cerebrospinal venous insufficiency (CCSVI) in people with multiple sclerosis

Jagannath¹,

Pucci²,

Asokan

et al. 2019

Cochrane Database of Systematic Reviews

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Clinical Improvement after Extracranial Venoplasty in Multiple Sclerosis

Cited by 36 publications

References 36 publications

Review of catheter venography protocols in the evaluation of chronic cerebrospinal venous insufficiency

Review of catheter venography protocols in the evaluation of chronic cerebrospinal venous insufficiency

Cerebrospinal Venous Outflow in Multiple Sclerosis Patients versus Fatigue and/or Depression

Percutaneous transluminal angioplasty for treatment of chronic cerebrospinal venous insufficiency (CCSVI) in people with multiple sclerosis

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