alexa The Hemodynamics of Blood Flow through the Internal Jugular Veins after CCSVI Endovascular Treatment and its Impact on the Quality of Life in Patients with Chronic Cerebrospinal Venous Insufficiency
ISSN: 2168-975X

Brain Disorders & Therapy
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Research Article

The Hemodynamics of Blood Flow through the Internal Jugular Veins after CCSVI Endovascular Treatment and its Impact on the Quality of Life in Patients with Chronic Cerebrospinal Venous Insufficiency

Kostecki Jacek1*, Zaniewski Maciej2, Urbanek Tomasz1 , Korzeniowski Tomasz3, Ziaja Damian1 and Sznapka Mariola1

1Department of General and Vascular Surgery, Silesia Medical University, Katowice, Poland

2Department of Vascular Surgery and Angiology, Hospital of the Brothers of St John of God, Krakow, Poland

3East Centre of Burns Treatment and Reconstructive Surgery, District Hospital in Leczna, Leczna, Poland

*Corresponding Author:
Kostecki Jacek
Department of General and Vascular Surgery
Silesia Medical University
Katowice
Poland
Tel: +48501444784
E-mail: [email protected]

Received date: Oct 18, 2015; Accepted date: Jul 04, 2016; Published date: Jul 08, 2016

Citation: Jacek K, Maciej Z, Tomasz U, Tomasz K, Damian Z, et al. (2016) The Hemodynamics of Blood Flow through the Internal Jugular Veins after CCSVI Endovascular Treatment and its Impact on the Quality of Life in Patients with Chronic Cerebrospinal Venous Insufficiency. Brain Disord The 5:219. doi:10.4172/2168-975X.1000219

Copyright: © 2016 Jacek K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Objectives: The aim of the study was to compare pre- and post-operative blood flow through the internal jugular veins (IJVs) in patients with multiple sclerosis and chronic cerebrospinal venous insufficiency, who were subjected to endovascular treatment. The results were correlated with respect to changes in the quality of life. Methods: 144 MS patients underwent endovascular treatment of the IJVs. The blood flow through the IJVs was assessed by the means of the Doppler ultrasonography. The clinical neurological evaluation was based on the various diagnostic tools (scales). The assessment of the blood flow through the IJVs and an evaluation of the quality of life changes were performed before surgery, and at 1, 3 and 6 months after surgery. Results: A statistically significant increase in the blood flow through the IJVs was identified on both sides during all three postoperative controls. The relationship between the IJV flow changes and the parameters related to the quality of life assessment, a statistically significant positive correlation between the flow improvement in the right IJV and Multiple Sclerosis Impact Scale, as well as Fatigue Severity Scale scores, were found. For the remaining evaluated scales (Expanded Disability Status Scale, Heat Intolerance Scale and Epworth Sleepiness Scale), as well for the flow in the left IJV, there were no statistically significant correlations confirmed. Conclusion: Despite a significant improvement in the blood flow through the IJVs after endovascular interventions on the IJVs in CCSVI patients, it has not demonstrated that hemodynamic changes improve the quality of life in MS patients.

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