| Intravascular ultrasound in the diagnosis and treatment of chronic cerebrospinal venous insufficiency. | |
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MedLine Citation:
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PMID: 22640502 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Multiple imaging modalities have been used for the evaluation of chronic cerebrospinal venous insufficiency (CCSVI). These include Doppler ultrasound, magnetic resonance venography, computed tomographic venography, and catheter venography. Although each of these tests is considered to contribute valuable information to the evaluation, each modality has deficiencies, which can impact treatment. Intravascular ultrasound (IVUS) has a role in this evaluation owing to its ability to accurately assess vessel circumference and cross-sectional area in real time. This can aid in identifying significant stenoses and optimizing balloon sizing during angioplasty. In addition, intraluminal abnormalities that may be difficult to see with venography can be identified with IVUS, which can further determine when angioplasty for CCSVI is indicated. Finally, IVUS can identify potential complications of angioplasty, including dissection and thrombus formation, allowing for rapid treatment. As a result, IVUS is an important part of an evaluation for CCSVI and, when available, should be used to identify patients who may benefit from endovascular treatment. |
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Authors:
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Salvatore J A Sclafani |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Techniques in vascular and interventional radiology Volume: 15 ISSN: 1557-9808 ISO Abbreviation: Tech Vasc Interv Radiol Publication Date: 2012 Jun |
Date Detail:
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Created Date: 2012-05-29 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9806675 Medline TA: Tech Vasc Interv Radiol Country: United States |
Other Details:
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Languages: eng Pagination: 131-43 Citation Subset: IM |
Copyright Information:
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Copyright © 2012 Elsevier Inc. All rights reserved. |
Affiliation:
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Fresenius Vascular Care, Brooklyn, NY; Departments of Radiology, Surgery, and Emergency Medicine, State University of New York, Downstate Medical School, Brooklyn, NY. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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