ascending lumbar veins can be treated?

A forum to discuss Chronic Cerebrospinal Venous Insufficiency and its relationship to Multiple Sclerosis.

ascending lumbar veins can be treated?

Postby Cece » Wed Feb 01, 2012 2:54 pm ... umbar_vein
Venous hypertensive myelopathy caused by narrowing of ascending lumbar vein

Li Pan, Lianting Ma, Jie Gong, Zhe Yu, Xinyuan Zhang, Jun Li, Qihong Wang

Department of Neurosurgery, Wuhan General Hospital, Guangzhou Command, People's Liberation Army, Wuhan 430070, China.

Zhonghua wai ke za zhi [Chinese journal of surgery] 11/2002; 40(10):752-4.

Journal Article


OBJECTIVE: To assess the diagnosis and treatment of venous hypertensive myelopathy (VHM) caused by narrowing of the ascending lumbar vein. METHOD: The data from 3 patients with VHM caused by narrowing of the ascending lumbar vein were analyzed retrospectively. RESULTS: Once the narrowed site of the lumbar ascending vein was determined by myelographic or angiographic technique, an undetachable balloon was introduced and advanced to the proximal part of the narrowed segment. Satisfactory results were obtained in these patients. CONCLUSION: Narrowing of the ascending lumbar vein is one of the causes for VHM, and endovascular balloon angioplasty is an optimal treatment.

Not all IRs image the ascending lumbar veins in CCSVI, but some do. My own ascending lumbars looked good. But my understanding from Dr. Zamboni's work was that he imaged the ascending lumbars just to let the patient know if there is a problem there, but he did not attempt treatment, and he also found a greater likelihood of ascending lumbar abnormalities in primary progressive patients.

But look at this! In patients with venous hypertensive myelopathy, their narrowed ascending lumbar veins were treated with nothing other than endovascular balloon angioplasty, with satisfactory results.

This would not work for anyone with agenesis of the ascending lumbars, but it might for patients with narrowed lumbar veins. This is a very small study but a very interesting one.
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Re: ascending lumbar veins can be treated?

Postby Cece » Wed Feb 22, 2012 5:18 pm

Interesting enough for Dr. Sclafani to include in his talk today!
from Arlene Hubbard's detailed and appreciated summary of the last day of ISNVD: ... 9665829860
Salvatore Sclafani
Consequences of venous obstruction involving other vascular beds

How can other vascular problems effect CCSVI

Venous obstruction caused by compressive forces outside the cerebrospinal venous circuit that may result in outflow obstruction or increased inflow cerebrospinal venous circuit

Venousous thoracic outlet syndrome= obsturctioj of subclavian or axillary vein at the 1st rib.Thrombosis …

Paget Schroetter…subclavian stenosis due to vigourous exercise….pain, swollen, cyanotic UE, paresthesa. Migraines are an occasional symptom
Chest and shoulder collateral veins noted

Renal vein stenosis…nutcracker syndrome…caused by compression. Symptoms: chronic fatigue, pelvic congestion syndrome, back/pelvic pain, increased BP,

May Thurner syndrome….compression of the left iliac vein symptoms: leg swelling, mild complaints of CVD, edema, varicose veins, thrombolysis,
The association to cCSVI is not clear, hypogastric veins dominant collateral, LCIV connected to cSV via left ascending lumbar vein and LV
Flow into LV may augment volume and inhibit vertebral plexus outflow connects to hemiazygos vein and augment azygos flow.
Some reports of neuro deficits with ascending lumbar vein… a 3 pt study neuro symptoms resolved with angioplasty.
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