Good news: Improvements reported finally in an article

A forum to discuss Chronic Cerebrospinal Venous Insufficiency and its relationship to Multiple Sclerosis.
Post Reply
User avatar
frodo
Family Elder
Posts: 1784
Joined: Wed Dec 02, 2009 3:00 pm
Contact:

Good news: Improvements reported finally in an article

Post by frodo »

I could put it into research, but I think is worthy to give this extra visibility.


Bilateral Surgical Reconstruction for Internal Jugular Veins Disease in Patients With Chronic Cerebrospinal Venous Insufficiency and associated Multiple Sclerosis.

Source: http://www.ncbi.nlm.nih.gov/pubmed/24704584

Abstract
Chronic cerebrospinal venous insufficiency (CCSVI) is a vascular condition characterized by morphological alterations involving efferent cerebral vascular paths. CCSVI has been implicated as a contributing factor to multiple sclerosis (MS) but this theory is highly controversial. We report three cases of CCSVI patients with MS who had undergone internal jugular veins (IJVs) angioplasty to restore vessels patency. All patients reported significant symptomatic improvement after angioplasty until symptoms recurred following restenosis of the treated IJVs. Surgical IJVs reconstruction was performed. Patients' symptoms gradually improved and the benefits were maintained at the one-year follow up.
Copyright © 2014 Elsevier Inc. All rights reserved.
Cece
Family Elder
Posts: 9335
Joined: Mon Jan 04, 2010 3:00 pm
Contact:

Re: Good news: Improvements reported finally in an article

Post by Cece »

Interesting!! This is not angioplasty but bilateral surgical reconstruction. I believe this means surgically grafting in a full replacement jugular vein but it could also mean grafting in a piece of vein to expand the existing jugular vein. This was done on both sides (to both the left and right IJV) in this reaserch, in three patients who had this done after failed angioplasty. The abstract says that the benefits were maintained at a year follow-up but it does not say explicitly that the veins were still patent at a year's follow-up. This is very important because anecdotally there have been numerous reports of failures of these grafts, with the vein clotting and being lost. It could be that the doctors doing this research have a better technique or better follow-up with the patients so that it can be caught and treated quickly if the graft starts to fail.

So if anyone has access to the full article, my question is if both jugulars in all three patients remained patent at a year, which would be 6 jugulars in total, which would be very impressive and at odds with what the results seemed to be out of the Mexico clinic doing IJV grafts as well as the Mayo Clinic in Arizona with Dr. Stone's one attempt at this that was sadly not successful.
Post Reply

Return to “Chronic Cerebrospinal Venous Insufficiency (CCSVI)”