Bilateral surgical reconstruction for internal jugular veins disease in patients with chronic cerebrospinal venous insufficiency and associated multiple sclerosis.
Chronic cerebrospinal venous insufficiency (CCSVI) is a vascular condition characterized by morphologic 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 3 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 after restenosis of the treated IJVs. Surgical IJVs reconstruction was performed. Patients' symptoms gradually improved and the benefits were maintained at the 1-year follow-up.
Department of Cardiac and Vascular Surgery, Policlinico di Monza, Monza, Italy; Cardiac and Vascular Catheterization Laboratory, Policlinico di Monza, Monza, Italy; CCSVI Research Center, Policlinico di Monza, Monza, Italy.
Salvatore
S
Spagnolo
Cardiac and Vascular Catheterization Laboratory, Policlinico di Monza, Monza, Italy; CCSVI Research Center, Policlinico di Monza, Monza, Italy. Electronic address: filippo.scalise@policlinicodimonza.it.
Filippo
F
Scalise
Department of Cardiac and Vascular Surgery, Policlinico di Monza, Monza, Italy; Cardiac and Vascular Catheterization Laboratory, Policlinico di Monza, Monza, Italy; CCSVI Research Center, Policlinico di Monza, Monza, Italy.
Luciano
L
Barbato
Department of Cardiac and Vascular Surgery, Policlinico di Monza, Monza, Italy.
Maria Antonietta
MA
Grasso
Department of Cardiac and Vascular Surgery, Policlinico di Monza, Monza, Italy; Cardiac and Vascular Catheterization Laboratory, Policlinico di Monza, Monza, Italy; CCSVI Research Center, Policlinico di Monza, Monza, Italy.
Ugo F
UF
Tesler
D000328:Adult; D002561:Cerebrovascular Disorders / Q000150:complications / Q000601:surgery*; D002908:Chronic Disease; D006801:Humans; D007601:Jugular Veins / Q000601:surgery*; D008297:Male; D020529:Multiple Sclerosis, Relapsing-Remitting / Q000150:complications*; D012501:Saphenous Vein / Q000637:transplantation*; D014654:Vascular Patency; D014656:Vascular Surgical Procedures / Q000379:methods*; D014689:Venous Insufficiency / Q000150:complications / Q000601:surgery*