Presentation is loading. Please wait.

Presentation is loading. Please wait.

Feasibility and safety of endovascular treatment for chronic cerebrospinal venous insufficiency in patients with multiple sclerosis  Tommaso Lupattelli,

Published bySatu Nieminen Modified over 5 years ago

Similar presentations

Presentation on theme: "Feasibility and safety of endovascular treatment for chronic cerebrospinal venous insufficiency in patients with multiple sclerosis  Tommaso Lupattelli,"— Presentation transcript:

1 Feasibility and safety of endovascular treatment for chronic cerebrospinal venous insufficiency in patients with multiple sclerosis  Tommaso Lupattelli, MD, Giovanni Bellagamba, MD, Elena Righi, MD, Vincenzo Di Donna, MD, Isac Flaishman, MD, Rita Fazioli, MD, Francesco Garaci, MD, Paolo Onorati, MD  Journal of Vascular Surgery  Volume 58, Issue 6, Pages (December 2013) DOI: /j.jvs Copyright © 2013 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Right internal jugular vein (IJV) balloon angioplasty at the vein outlet (a). No evidence of collateral vessels after complete reopening of the vein (b). Narrowing of the left IJV at the level of the ostium (c). Angioplasty with a standard balloon proved ineffective due to the presence of a highly resistant stenosis (d). The standard balloon was changed for a high-pressure one that allowed full dilation of the vein lesion (e and f). Right IJV stenosis/occlusion; balloon dilatation (g) with subsequent significant improvement of the vein outflow (h). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Left internal jugular vein (IJV) narrowing at the vein outlet. A large collateral vessel draining at the junction between the subclavian and the anonymous veins is also seen (a). Balloon angioplasty with the kissing-balloon technique. Following dilatation of both balloons (b), complete reopening of the vein as well as disappearance of the large collateral vein is seen (c). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Azygos vein (AZ) rupture following balloon angioplasty at the vein outlet. Subtraction angiography shows massive extravasation of contrast medium (arrows) within the mediastinum (a). A standard balloon is placed close to the vein outlet and inflated at two atmospheres for 20 minutes in an effort to stop the vessel from bleeding (b). After balloon removal, complete cessation of bleeding is noted. However, a 3- × 3-cm pseudoaneurysm of the AZ (arrow) located at 2 cm from the junction with the superior vena cava is also seen (c). Bare stent placement of the AZ (d) followed by coil embolization of the pseudoaneurysm. Coil embolization was performed using a 4F Cobra catheter with its tip advanced through the meshes of the stent (e). Confirmation angiography shows good coil packaging of the sac with a preserved flow throughout the AZ. A vein spasm of the descending portion of the AZ is noted at the end of the procedure (arrows) (f). SVC, Superior vena cava. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

5 Fig 4 The proximal segment of the azygos vein (AZ), which is the portion between the vena cava and the azygous arch (within the circle), may lead to a massive bleeding into the mediastinum if it breaks during balloon dilatation (a and b). SVC, Superior vena cava. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Download ppt "Feasibility and safety of endovascular treatment for chronic cerebrospinal venous insufficiency in patients with multiple sclerosis  Tommaso Lupattelli,"

Similar presentations

Endovascular treatment of renal artery aneurysms and renal arteriovenous fistulas  Zhongming Zhang, MD, Min Yang, MD, Li Song, MD, Xiaoqiang Tong, MD,

Endovascular treatment of renal artery aneurysms and renal arteriovenous fistulas  Zhongming Zhang, MD, Min Yang, MD, Li Song, MD, Xiaoqiang Tong, MD,
Khanjan Baxi, BS, Samir K. Shah, MD, Daniel G. Clair, MD 

Khanjan Baxi, BS, Samir K. Shah, MD, Daniel G. Clair, MD 
Endovascular repair of subclavian artery complex pseudoaneurysm and arteriovenous fistula with coils and Onyx  Nana Amiridze, MD, PhD, Yougi Trivedi,

Endovascular repair of subclavian artery complex pseudoaneurysm and arteriovenous fistula with coils and Onyx  Nana Amiridze, MD, PhD, Yougi Trivedi,
Single-session total endovascular iliocaval reconstruction with stent grafting for the treatment of inferior vena cava agenesis and concurrent iliac venous.

Single-session total endovascular iliocaval reconstruction with stent grafting for the treatment of inferior vena cava agenesis and concurrent iliac venous.
Epistaxis as a Rare Complication of Catheter-Related Central Venous Stenosis  Jin-Ju Tsai, MD, Ching-Chih Hsia, MD, Dong-Ming Tsai, MD, Wei-Tsung Chen,

Epistaxis as a Rare Complication of Catheter-Related Central Venous Stenosis  Jin-Ju Tsai, MD, Ching-Chih Hsia, MD, Dong-Ming Tsai, MD, Wei-Tsung Chen,
Mireille A. Moise, MD, Neal Hadro, MD, Hazem El-Arousy, MD, Javier A

Mireille A. Moise, MD, Neal Hadro, MD, Hazem El-Arousy, MD, Javier A
Arterial rupture without balloon rupture during percutaneous transluminal angioplasty  Timothy P. Murphy, M.D., John J. Cronan, M.D., Landy P. Paolella,

Arterial rupture without balloon rupture during percutaneous transluminal angioplasty  Timothy P. Murphy, M.D., John J. Cronan, M.D., Landy P. Paolella,
Neurofibromatosis-associated massive right internal carotid artery aneurysm with a coexisting arteriovenous fistula  Marlin Wayne Causey, MD, Daniel M.

Neurofibromatosis-associated massive right internal carotid artery aneurysm with a coexisting arteriovenous fistula  Marlin Wayne Causey, MD, Daniel M.
Successful endovascular management of an acute iliac venous injury during lumbar discectomy and anterior spinal fusion  Joseph R. Schneider, MD, PhD,

Successful endovascular management of an acute iliac venous injury during lumbar discectomy and anterior spinal fusion  Joseph R. Schneider, MD, PhD,
Surgical treatment of hemodialysis-related central venous stenosis or occlusion: Another option to maintain vascular access  Javier Eduardo Ferrari Ayarragaray,

Surgical treatment of hemodialysis-related central venous stenosis or occlusion: Another option to maintain vascular access  Javier Eduardo Ferrari Ayarragaray,
Tips and techniques in carotid artery stenting

Tips and techniques in carotid artery stenting
A prospective open-label study of endovascular treatment of chronic cerebrospinal venous insufficiency  Paolo Zamboni, MD, Roberto Galeotti, MD, Erica.

A prospective open-label study of endovascular treatment of chronic cerebrospinal venous insufficiency  Paolo Zamboni, MD, Roberto Galeotti, MD, Erica.
Endovascular treatment combined with emboloscleorotherapy for pelvic arteriovenous malformations  Young Soo Do, MD, Young-Wook Kim, MD, Kwang Bo Park,

Endovascular treatment combined with emboloscleorotherapy for pelvic arteriovenous malformations  Young Soo Do, MD, Young-Wook Kim, MD, Kwang Bo Park,
Ali Azizzadeh, MD, Mai T. Pham, MD, Anthony L. Estrera, MD, Sheila M

Ali Azizzadeh, MD, Mai T. Pham, MD, Anthony L. Estrera, MD, Sheila M
Single-session total endovascular iliocaval reconstruction with stent grafting for the treatment of inferior vena cava agenesis and concurrent iliac venous.

Single-session total endovascular iliocaval reconstruction with stent grafting for the treatment of inferior vena cava agenesis and concurrent iliac venous.
Balloon-assisted over-the-wire technique for placement of the venous outflow component of the Hemodialysis Reliable Outflow (HeRO) device  Hector Ferral,

Balloon-assisted over-the-wire technique for placement of the venous outflow component of the Hemodialysis Reliable Outflow (HeRO) device  Hector Ferral,
Superior Vena Cava Syndrome: Role of the Interventionalist

Superior Vena Cava Syndrome: Role of the Interventionalist
Mireille A. Moise, MD, Neal Hadro, MD, Hazem El-Arousy, MD, Javier A

Mireille A. Moise, MD, Neal Hadro, MD, Hazem El-Arousy, MD, Javier A
Long-term central venous access

Long-term central venous access
Early infection risk with primary versus staged Hemodialysis Reliable Outflow (HeRO) graft implantation  Andrew S. Griffin, MD, Shawn M. Gage, PA-C, Jeffrey.

Early infection risk with primary versus staged Hemodialysis Reliable Outflow (HeRO) graft implantation  Andrew S. Griffin, MD, Shawn M. Gage, PA-C, Jeffrey.

Similar presentations

Ads by Google