SIR 36th Annual Scientific Meeting (Chicago IL) March 26 – 31, 2011
http://www.sirmeeting.org/index.cfm?do= ... ic&cb=1022
Neurointerventions II: Chronic Cerebrospinal Venous Insufficiency (CCSVI)
http://www.sirmeeting.org/index.cfm?do= ... odeID=1039
CCSVI is a hemodynamic manifestation of outflow obstruction or resistance manifested by memory loss, mental confusion, fatigue, headaches, ataxia, weakness and sensory deficits.
The cause of CCSVI appears to be venous outflow obstructions due primarily to truncular malformations of the jugular and azygos veins. The use of endovascular techniques has been reported by Paolo Zamboni to improve symptoms and reduce exacerbations.
This workshop will describe the clinical presentations, the use of ultrasound for screening, the venographic appearance, the therapeutic options and the pitfalls of diagnosis and treatment. In the last half of the workshop we will present a series of clinical case examples and discuss them with the audience.
At the end of this session, the learner should be able to:
1. Understand the pathology, the pathoophysiology and hemodynamic manifestations, and clinical presentations of CCSVI
2. be able to describe the various screening, diagnostic, and surveillance approaches to CCSVI
3. recognize the venographic appearances of CCSVI and a formulate a strategy for their detection
4. develop a coherent and effective treatment strategy
5. recognize and treat complications of thrombosis and restenosis
Salvatore Sclafani, MD, FSIR
Roberto Galeotti, MD Kenneth Mandato, MD Sandy McDonald, MD Fabrizio Salvi, MD Salvatore Sclafani, MD, FSIR