Dr. Michael Dake ISNVD 2015

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

Dr. Michael Dake ISNVD 2015

Postby Cece » Sat Mar 28, 2015 4:40 pm

Clinical Applications of Venous Treatment

Recent data from the literature suggest a greater role of chronic venous insufficiency in the pathogenesis of a
variety of brain disorders. The goal of this talk is to review the contributions made in 2014 to our enhanced
understanding of the safety and efficacy of the endovascular or open surgical treatment of chronic venous
obstruction in patients with a variety of pathologies including multiple sclerosis, transient global amnesia,
Alzheimer’s disease, Parkinson’s disease, postural orthostatic tachycardia syndrome, transient monocular
blindness, headaches, and spontaneous intracranial hypertension. Open surgical interventions including, but
not limited to operative venous bypass, transposition, venoplasty, and vein interposition have been reported.
Endovascular procedures detailed in the medical literature include balloon angioplasty, cutting or scoring
balloon angioplasty, self-expanding and balloon expandable stent placement, and stent-grafting. In general, all
these therapies have been used to treat stenosis and/or occlusions of the jugular and/or azygous veins
associated with increased collateral venous drainage. The relationship between anatomic findings and any
symptoms related to the range of neurological disorders listed above has not been established and further
research is required.

MICHAEL D. DAKE, M.D.
Thelma and Henry Doelger Professor (III)
Department of Cardiothoracic Surgery
Stanford University School of Medicine

I am grateful for Dr. Dake's continued involvement. Were any of those open surgical interventions not previously discussed here? Operative venous bypass, transposition, venoplasty, and vein interposition?
Cece
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Re: Dr. Michael Dake ISNVD 2015

Postby cheerleader » Sun Mar 29, 2015 10:51 am

Dr. Dake will always be our hero. He continues to go to these ISNVD meetings and publish. He could have walked away long ago, but he sees the connection. He wants to help build the basic science, so that scientific proof is established.

Cece-most of those open interventions have been discussed, but Dr. Dake is referring to all of the surgical and endovascular techniques currently in the literature for jugular and azygous veins, not just CCSVI.
cheer
Husband dx RRMS 3/07
dx dual jugular vein stenosis (CCSVI) 4/09
http://ccsviinms.blogspot.com
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Re: Dr. Michael Dake ISNVD 2015

Postby Cece » Mon Mar 30, 2015 6:28 pm

cheerleader wrote:He wants to help build the basic science, so that scientific proof is established.

There seemed to be a real push this year to build the basic science. Dr. Haskal mentioned that too on twitter.
Yes, Dr. Dake is a hero, and brings his expertise and reputation.
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