Prof.Dr.Stehling Institut für Bildgebende DIAGNOSTIK

Strahlenberger Straße 110

63067 Offenbach - Kaiserlei

Phone: +49 69-50 50 00 90

Fax: +49 69-50 50 00 98-8

E-Mail: info@bilddiagnostik.de

Internet: www.bilddiagnostik.de

Opening Hours

Monday-Friday: 8:00 am – 8:00 pm

Saturday: 10:00 am – 2:00 pm

Sunday and Bank Holidays:

By appointment

CCSVI investigation and diagnosis at CCSVI-Center (Frankfurt/Germany):
MRV-Screening - CCSVI Diagnostics following a modified and advanced Haacke Protocoll

 

In order to diagnose the CCSVI, CCSVI-Center in Frankfurt uses non-invasive or mini-invasive CCSVI investigations methods. Our experience and our collaboration with the vendors of medical equipment and medical scientists around the world helped us to improve the CCSVI Diagnosis protocols, in order to provide reliable and safe diagnostic for our patients.

 

CCSVI Diagnostic:

 

Identification of CCSVI according to Zamboni is based on three methods:

 

1. Ultrasound examination (only head and neck)
   
   The limitation of ultrasound is that it cannot assess the intrathoracic and abdominal venous system.
   But it provides real-time information about blood flow dynamics, which is necessary to assess reflux
   in the lower internal jugular vein segment, that is important for the bloodflow from the brain to the heart.
   
   
2. MR-Venography (head, neck, thorax and abdomen - Haacke protocol)

    

   Improved Haacke Protocol by CCSVI-Center in Frankfurt

    

    

    

   MR venography showing with color coding demonstrating

   focal stenosis of the upper internal jugular veins

   (IJV).

    

    

    

   We have implemented the following improvements for the Haacke protocol:

   • Combination of fast non breath-hold mr-venography (MRV) followed by slower breath-hold MRV
     for the lower neck and upper thoracic venous system
     
     
   • Flow-visualisation along the internal jugular veins (IJV)
     
     
   • Flow visualisation of the azygos vein-superior vena cava junction
     
     
   • Improved multi breath-hold single-volume equilibrium MRV of the thoracic and abdomino-pelvic
     venous system Examples of the respective improvements are show below.
     
     

   The Haacke MR-protocol has been established as the standard for MR-venography and flow measurements in the work-up of CCSVI. It has, however, several drawbacks. Since MR-venography is carried out without breathholding and without cardiac gating, the azygos vein, that drains the blood from the spinal cord, cannot be depicted with sufficient accuracy on MRI.

   
   Thus, the intrathoracic and abdomino-pelvic venous system so far required invasive catheter venography for CCSVI evaluation.

   
   In some cases, if the MR-Venography is not possible (for example, if you have certain aneurysm clips in your head or a cardiac pacemaker), we perform low radiation CT Venography investigation.

    

3. Catheter venography under fluoroscopy
   
   Catheter venography or venogram, as a specialized form of angiography, is a medical imaging technique used to image the inside of blood vessels. This is traditionally done by injecting a contrast agent into the blood vessel and imaging with an X-Ray based technology such as fluoroscopy.
   
   During catheter venography, a long, thin, flexible plastic tube (catheter) is inserted into the body, usually through a vein in the groin. The catheter is then threaded through the vascular system to the area requiring examination. A contrast dye is injected through the catheter and a rapid series of x-rays is taken, offering a detailed look at the specific blood vessels under the question.
   
   
   
   
   Catheter Venography showing the mild midlevel stenosis
   
   
   
   
   
   Catheter Venography showing the lower level stenosis
   
   
   
   

Outline of CCSVI diagnostic process- First Day

• Preliminary discussion with the doctor
  
  
• Laboratory tests
  
  
• MRV-Screening / MR-Venography with contrast (40-60 minutes)
  
  
• Or if MR-Venography not possible, CT venography (10-20 minutes)
  
  
• Echo / Doppler duplex (10-20 minutes)
  
  
• Results and final medical consultation with the radiologist
  
  
• Catheter Venography will be done on the second day prior to the CCSVI Treatment
  
  

The costs for CCSVI Investigation

 

The costs for CCSVI investigations, including coordination, mediation and English language support depend on the art of the necessary investigation, additional packages and start from € 1050 to € 2500.

 

Read more about the CCSVI Liberation Treatment…

Read more about Treatment with bone marrow adult autologous Stem Cells and special Physiotherapy...

Read more about the CCSVI Treatment with CCSVI Venous Stents…

 

 

 

 

 

Advice and Contact

Toll-Free Telephone-Consultation

+49 69-50 50 00 90

info@bilddiagnostik.de

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