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New CCSVI treatment option - inclusive a clinical trail at the MEDICOVER Hospital, Warsaw Poland.

( http://www.medicover.com/plen/hospital/ ... n,news.htm )

From Arne Kaminsky:
" Last week I’ve reported about a meeting in Warsaw where Dr. Franz Schelling met with some Polish physicians to discuss the science behind CCSVI in MS.
Watching those videos of the meeting, two younger doctors got my attention because both were extremely well informed about the topic and still full of curiosity to learn more from Dr. Franz Schelling.

I asked a Polish friend of mine where those young doctors came from and he told me that both are working as radiologist at the Medicover Hospital, Warsaw which is already accomplishing a clinical trail to proof that PTA (percutaneous transluminal angioplasty) is an effective procedure to treat symptoms of CCSVI in MS and that the Hospital is trying to convince the ministry of health with a study to get this treatment approved.

For me all that sounded just great so I was keen to learn more about the vascular specialists from the Medicover Hospital and their technique to treat CCSVI in MS especially because Dr. Schelling has told me pretty good things about the hospital and the open minded doctors too.

Anyway, my Polish friend arranged a contact with Doctor Marcie Kielar, MD, PhD, Associate Professor and Director of the Department of Surgery http://www.medicover.com/plen/hospital/ ... urgery.htm for me to ask the doctor some questions of interest for people with MS.

For me it was most interesting to learn that the Polish doctors have quite a different technique to examine the veins. I asked Dr. Kielar which veins they are scanning for venous abnormalities and his answer was that they are performing an indirect phlebography (after none-invasive Doppler & MRI scans) with arterial approach which means they get a full vascular image of the brain, neck and the upper part of the chest and accordingly to the findings they are treating the problems. They don’t examine the Illiac vein for May-Thurner Syndrome.
He let me further know that the hospital will provide fMRI http://www.hubbardfoundation.org/CCSVI_fmri.html very soon and that the doctors are working with cutting balloons and high pressure ballooning if it’s needed as well. IVUS is not available yet and they only use stents in cases with strong indication (restenosis etc.). The anticoagulation they are using is a low weight heparin for 14 days and after that a low dose of aspirin for 30 days.
At the end I did ask Dr. Kielar the naughty $$question and he told me that 3 days staying at the hospital with all the pre & post scans etc. inclusive the procedure will cost ca. EUR4000.

The second doctor who is involved to get the approval for the CCSVI treatment is Maciej Jaworski, MD, PhD, Director of the Diagnostic Center.
http://www.medicover.com/plen/hospital/ ... Center.htm

I was pretty impressed how the doctors over there working especially that they actively trying to get CCSVI in MS recognised, which aims to achieve to get a free treatment for all Polish people who are suffering from MS & CCSVI.
It makes me happy to know as well that the Medicover Hospital is planning a cooperation (workshop “ MRI diagnosing of vascular pathologies in MS patients”) with Dr. Franz Schelling
http://www.ms-info.net/evo/msmanu/984.htm who is without a doubt one of the big names if it comes to CCSVI in MS.

Thanks Drs. Kielar and Schelling for taking the time to answer some questions & to help people with CCSVI in MS to get a proper treatment!

Arne Kaminsky "
Quelle:

http://www.medicover.com/plen/
Regards
Rici

What would be gained by entering the arteries? CCSVI has always been defined as a condition of the veins.

This is a low price for patients who can drive home from Warsaw. No one has shown that thrombosis or re-stenosis are never a problem if you fly within two weeks of a procedure, so why take this risk ? Until their diagnostic technique is tested against IVUS and catheter venogram, missing stenoses is another risk. I do not understand why the illiac vein is excluded as stenoses have been found there.

The CCSVI procedure should be performed locally if possible or good follow up must be available locally. I am sure you want everyone to reduce risk Rici after your experiences.

MarkW

I am interested in this new imaging technique and why it involves the arteries as well.

In Medicover contrast is given by arteries. Thus is avoiding damage to the valves in the neck' veins (instructions of Dr. Schelling). In this way you will see the stenosis over the jaw near the ear easily. The stenosis are usually unnoticed in other clinics ( http://www.ccsvi-ms.pl/foto/14201.jpg ). If someone decide to be operated in Poland in Medicover - she or he pays less (up to 50%) for health and luxury. The clinic located in center of Europe 20 minutes from the airport. I was there myself so I can confirm it. And there is no need of prepayment.
Regards
Rici

Thanks for posting the info Rici.

There are certainly differences in techniques. The area described here ("stenosis over the jaw near the ear") sounds like the upper jugular or J3. This can be accessed directly through the jugular and visualized from within the vein using ivus, however there is debate over how to treat J3 lesions. An IR I talked to last week does not treat them at all, because he's found that it is difficult to improve them and easy to make them worse.

The claim here, as I understand it, is that delivering contrast in the jugulars can damage the valves and that delivering contrast through the carotid artery is the best way to illuminate the jugulars, once the contrast makes its way through the brain. I find it difficult to believe either assertion.