Safety Profile of Endovascular Treatment for Chronic Cerebrospinal Venous Insufficiency in Patients With Multiple Sclerosis
| العنوان: | Safety Profile of Endovascular Treatment for Chronic Cerebrospinal Venous Insufficiency in Patients With Multiple Sclerosis |
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| المؤلفون: | Genadi Kaninski, Ivo Petrov, Nikolai Iliev, Angel Radev, Marjana Iloska, Lachezar Grozdinski |
| المصدر: | Journal of Endovascular Therapy. 18:314-323 |
| بيانات النشر: | International Society of Endovascular Specialists, 2011. |
| سنة النشر: | 2011 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Multiple Sclerosis, medicine.medical_treatment, Constriction, Pathologic, Risk Assessment, Young Adult, Hematoma, Restenosis, Risk Factors, Angioplasty, Humans, Medicine, Radiology, Nuclear Medicine and imaging, Registries, Bulgaria, Aged, Retrospective Studies, Groin, business.industry, Multiple sclerosis, Stent, Ultrasonography, Doppler, Phlebography, Middle Aged, medicine.disease, Surgery, Cerebrovascular Disorders, Chronic cerebrospinal venous insufficiency, Treatment Outcome, medicine.anatomical_structure, Spinal Cord, Venous Insufficiency, Azygos Vein, Chronic Disease, Female, Stents, Radiology, Jugular Veins, Cardiology and Cardiovascular Medicine, business, Complication, Angioplasty, Balloon |
| الوصف: | To evaluate the safety of endovascular treatment of chronic cerebrovascular insufficiency (CCSVI) in patients with multiple sclerosis (MS).In a 1-year period, 461 MS patients (261 women; mean age 45.4 years, range 21-79) with CCSVI underwent endovascular treatment of 1012 venous lesions during 495 procedures [34 (6.9%) reinterventions]. While balloon angioplasty was preferred, 98 stents were implanted in 76 patients for lesion recoil, restenosis, or suboptimal dilation. The procedures were analyzed for incidences of major adverse events (death, major bleeding, or clinical deterioration of MS), access site complications, procedure-related complications, and procedural safety-related variables (fluoroscopy and contrast times). The complication rates were compared to published data for similar endovascular methods.There were no deaths, major bleeding events, or clinical deterioration of MS. Access site complications included limited groin hematoma (5, 1.0%); there were no arteriovenous fistulas or puncture site infections. Systemic complications included only rare cardiac arrhythmias (6, 1.2%). Procedure-related complications included vein rupture (2, 0.4%), vein dissection (15, 3.0%), acute in-stent/in-segment thrombosis (8, 1.6%), and acute recoil (1, 0.2%); there was no stent migration or fracture or distal embolization. Mean fluoroscopy time was 22.7 minutes, and mean contrast volume was 136.3 mL.Endovascular therapy appears to be a safe and reliable method for treating CCSVI. Innovations such as purpose-specific materials and devices are needed, as are case-controlled and randomized data to establish efficacy in ameliorating MS symptoms. |
| تدمد: | 1545-1550 1526-6028 |
| DOI: | 10.1583/11-3440.1 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8c14134fa313835892912d99d8f00649 https://doi.org/10.1583/11-3440.1 |
| رقم الانضمام: | edsair.doi.dedup.....8c14134fa313835892912d99d8f00649 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15451550 15266028 |
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| DOI: | 10.1583/11-3440.1 |