Brain and Spine Surgery



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Overview


How is CCSVI Treated in MS Patients?

CCSVI in MS patients is treated with a procedure known as the Liberation Procedure or venous angioplasty, wherein inflatable balloons and, possibly, expandable mesh tubes called stents are used to inflate narrowed veins.


Preparation for CCSVI Multiple Sclerosis Liberation Procedure

A comprehensive evaluation is conducted. Confirmation of the MS diagnosis and determination of the degree of associated disability, together with a magnetic resonance venography of the head, neck and chest and transcranial and neck venous Doppler tests, are standard preliminary examinations. Currently, the specialized training and equipment required for the evaluation is only available in select locations abroad.


The CCSVI Multiple Sclerosis Liberation Procedure

The CCSVI Liberation Procedure is performed under local anesthesia with pain medication. You remain conscious for the procedure. A thin flexible catheter is inserted into an artery through a small incision near your groin. An injected dye travels through the blood system to indicate which veins are narrowed or blocked.

The catheter with a balloon and, if necessary, a stent, is fed through the artery, with the aid of live x-rays, to the affected veins. Once at the blockage or narrowing, the balloon is inflated to widen the vein passage. A stent may be required to maintain the widening. Balloons are withdrawn from the body; however, stents remain in place.


Recovery from CCSVI Multiple Sclerosis Liberation Procedure

A CCSVI Liberation Procedure is a minimally invasive procedure. You can expect to remain in hospital for 5 days after surgery for monitoring and follow-up care. A further 3 day at a local hotel after hospital discharge is also necessary before you are permitted to fly.

Recovery is relatively simple and rapid. Bruising is normal. You will receive wound care instructions and may be prescribed medication.

The CCSVI Liberation Procedure for MS patients is a recent advance in medical technology. As with all surgical procedures, it is strongly recommended you consult with your physician and/or specialist so you are fully informed as to whether this procedure is appropriate for your medical condition and of all possible complications.

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These are some of the actual images taken during my venogram. The first two images show the abnormal right vein and the normal left vein. Notice all the fuzzy grayness on the left most image (right IJ). those are all the collateral veins trying to drain the right side through the vertebral vein. Unfortunately, even the vertebral vein is malformed and doesn't drain properly. The second image from the left is the normal left side and you can see uniform size and no collaterals. The third image is a close up of the abnormal valve, ( it's the gray area between the two areas of black ). Finally the image on the right is a view of the inflated angioplasty balloon.



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