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
Venous stents are now available for the treatment of (recurrent) venous stenoses.
The stents used at the CCSVI-Center in Frankfurt are wide enough for the large diameter of veins and ultra-flexible, a prerequisite for long-term patency in veins and may be used normally in the cases of so-called Restenosis (a condition where a previously treated vein segment becomes re-occluded).
Contrary to arteries, which have thick and rather rigid walls, veins have thin, very flexible walls, which allow the veins to change their shape and diameter according to blood volume and external pressure. Stiff arterial stents, which cannot change their shape together with the vein which accommodates them, might injure the thin wall of the veins, thus increasing the risk for thombosis.
Also, flexibility reduces the risk of dislodgement, by ensuring that the stent fits snugly into the vein. The stents are made from a space-age alloy, Nitinol, which can “remember” the shape in which they were manufactured. This makes the stents easy to deliver via catheter. The compatibility of Nitinol with magnetic resonance imaging allows MR-exams with stents in place to be carried out without risk for the patient.
The stents come in different sizes to suite the specific shapes and sizes of veins.
The stent is delivered via a balloon catheter. At the stenosis, the stent is expanded and pressed against the vessel wall by inflating the balloon. When the balloon is subsequently deflated, the stent stays in place and keeps the vessel open.
When should a stent be implanted?
Because of these additional risks, we do not recommend stent implantation as the first line [initial] treatment of CCSVI.
Even in patients who have responded favourably to the initial treatment with balloon angioplasty and who develop a re-stenosis, a second balloon-angioplasty without stent should be attempted.
If this second treatment is again, at least temporarily, successful but the stenosis recurs again, a stent should be considered.
The decision whether or not a stent should be implanted and which kind of stent is most suitable should be made with care. This decision is influenced by many factors, such as the location and the size of the stenosis, the size of the vessel, and others such as possible compression of the stent by bony protrusions from the spine, which could fracture a stent long term.
Who makes the decision and who implants the stent ?
The decision for a stent implantation is made by our interdisciplinary team of Radiologists, Neurologists, Internists and Cardiologists - and the patient.
The costs for CCSVI Stent Implantation
The costs for CCSVI Stent Implantation, including coordination, mediation and English language support depend on the art of the necessary investigation, additional packages and start from € 4950 to € 6900.
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+49 69-50 50 00 90
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