Serious Complication of Percutaneous Angioplasty with Stent Implantation in so Called "Chronic Cerebrospinal Venous Insufficiency" in Multiple Sclerosis Patient
We report female patient, age 51, with clinically definitive multiple sclerosis (CDMS) since 1998, who underwent two PTA procedures with stent implantation for CCSVI in 2010. Expanded disability status scale (EDSS) worsened since the procedure from 4.5 to 6. Total number of three stents was implante...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Karolinum Press
2012-01-01
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| Series: | Prague Medical Report |
| Subjects: | |
| Online Access: | https://pmr.lf1.cuni.cz/113/4/0289/ |
| _version_ | 1819229172862550016 |
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| author | Ondřej Doležal D. Horáková Z. Gdovinová J. Szilasiová |
| author_facet | Ondřej Doležal D. Horáková Z. Gdovinová J. Szilasiová |
| author_sort | Ondřej Doležal |
| collection | DOAJ |
| description | We report female patient, age 51, with clinically definitive multiple sclerosis (CDMS) since 1998, who underwent two PTA procedures with stent implantation for CCSVI in 2010. Expanded disability status scale (EDSS) worsened since the procedure from 4.5 to 6. Total number of three stents was implanted (two of them in the right internal jugular vein). In six month time, in 2011, patient was referred for independent examination by computer tomography (CT) phlebography for right-sided neck pain. Dislocation of stents on the right side and thrombosis of left sided stent was found. Conservative approach was used so far. Our short report is showing possible complications of PTA and stenting in jugular veins in so called CCSVI and bringing information about neurological state (EDSS) worsening in a subject. Continuation of stent migration in the future is probable, possibly resulting in pulmonary embolism with fatal risk for the patient. We strongly ask for restriction of PTA procedure in so called CCSVI, which concept was not proven to be relevant to MS. |
| first_indexed | 2024-12-23T11:08:57Z |
| format | Article |
| id | doaj.art-217bfc8a27fb4e28a68e4e31406d295a |
| institution | Directory Open Access Journal |
| issn | 1214-6994 2336-2936 |
| language | English |
| last_indexed | 2024-12-23T11:08:57Z |
| publishDate | 2012-01-01 |
| publisher | Karolinum Press |
| record_format | Article |
| series | Prague Medical Report |
| spelling | doaj.art-217bfc8a27fb4e28a68e4e31406d295a2022-12-21T17:49:24ZengKarolinum PressPrague Medical Report1214-69942336-29362012-01-01113428929310.14712/23362936.2015.12Serious Complication of Percutaneous Angioplasty with Stent Implantation in so Called "Chronic Cerebrospinal Venous Insufficiency" in Multiple Sclerosis PatientOndřej Doležal0D. Horáková1Z. Gdovinová2J. Szilasiová3Department of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech RepublicDepartment of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech RepublicDepartment of Neurology, Faculty of Medicine, Pavol Jozef Šafárik University, Košice, Slovak RepublicDepartment of Neurology, Faculty of Medicine, Pavol Jozef Šafárik University, Košice, Slovak RepublicWe report female patient, age 51, with clinically definitive multiple sclerosis (CDMS) since 1998, who underwent two PTA procedures with stent implantation for CCSVI in 2010. Expanded disability status scale (EDSS) worsened since the procedure from 4.5 to 6. Total number of three stents was implanted (two of them in the right internal jugular vein). In six month time, in 2011, patient was referred for independent examination by computer tomography (CT) phlebography for right-sided neck pain. Dislocation of stents on the right side and thrombosis of left sided stent was found. Conservative approach was used so far. Our short report is showing possible complications of PTA and stenting in jugular veins in so called CCSVI and bringing information about neurological state (EDSS) worsening in a subject. Continuation of stent migration in the future is probable, possibly resulting in pulmonary embolism with fatal risk for the patient. We strongly ask for restriction of PTA procedure in so called CCSVI, which concept was not proven to be relevant to MS.https://pmr.lf1.cuni.cz/113/4/0289/Multiple sclerosisChronic cerebrospinal venous insufficiencyPercutaneous angioplastyStentThrombosis |
| spellingShingle | Ondřej Doležal D. Horáková Z. Gdovinová J. Szilasiová Serious Complication of Percutaneous Angioplasty with Stent Implantation in so Called "Chronic Cerebrospinal Venous Insufficiency" in Multiple Sclerosis Patient Prague Medical Report Multiple sclerosis Chronic cerebrospinal venous insufficiency Percutaneous angioplasty Stent Thrombosis |
| title | Serious Complication of Percutaneous Angioplasty with Stent Implantation in so Called "Chronic Cerebrospinal Venous Insufficiency" in Multiple Sclerosis Patient |
| title_full | Serious Complication of Percutaneous Angioplasty with Stent Implantation in so Called "Chronic Cerebrospinal Venous Insufficiency" in Multiple Sclerosis Patient |
| title_fullStr | Serious Complication of Percutaneous Angioplasty with Stent Implantation in so Called "Chronic Cerebrospinal Venous Insufficiency" in Multiple Sclerosis Patient |
| title_full_unstemmed | Serious Complication of Percutaneous Angioplasty with Stent Implantation in so Called "Chronic Cerebrospinal Venous Insufficiency" in Multiple Sclerosis Patient |
| title_short | Serious Complication of Percutaneous Angioplasty with Stent Implantation in so Called "Chronic Cerebrospinal Venous Insufficiency" in Multiple Sclerosis Patient |
| title_sort | serious complication of percutaneous angioplasty with stent implantation in so called chronic cerebrospinal venous insufficiency in multiple sclerosis patient |
| topic | Multiple sclerosis Chronic cerebrospinal venous insufficiency Percutaneous angioplasty Stent Thrombosis |
| url | https://pmr.lf1.cuni.cz/113/4/0289/ |
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