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CCSVI Liberation Treatment in India – Surgeon Interview

This video shows a talk by a leading neuro-radiologist from India on liberation treatment for CCSVI in MS patients. He also talks about his academic achievements and experience here.

 

 

Liberation Therapy for CCSVI – Surgeon’s Interview’s Narration

“I am a trained international neuro-radiologist, my 100 percent of practicing now focusing on neuro-vascular procedures. And we treat brain aneurysms, brain arteriovenous malformations. We do Thrombolysis and Acute Stroke. We do carotid or any other brain arterio angioplasty as well.

Gurgaon

Other procedures we do – we do liberation procedure for CCSVI, for patients in MS, which is an ongoing study in our institution. I was trained as a radiologist and then I was trained as neuro-radiologist, I became faculty in All India Institute of Medical Sciences, which is one of the most premiere research and teaching institution in the country. After working there as faculty I resigned. Now I head the interventional neuro-radiology unit.

I have done short time fellowships abroad in Green Clinic as well as in France and Paris, and I have over 50 publications, including 30 international publications to my name. I am a visiting professor in the University of Massachusetts in Boston.

Mainly, I focus on neuro-vascular procedures, so we do Embolization for brain aneurysm; we do Embolization for brain arteriovenous malformations. We do angioplasty for carotid artery or intervene angioplasty for intervene atherosclerosis.

We are also doing Thrombolysis treatment for acute stroke patients. Besides this we also do Tumor Embolization Vertebroplasty and there is a big study going on in our hospital for liberation treatment for the CCSVI patient with multiple sclerosis. So we have been doing quite a few of liberation procedures as well.

CCSVI

CCSVI

CCSVI is a newly proposed disease entity in which the theory is that there are some venous narrowing’s in the veins leading to brain and spine, and they are contributing to multiple sclerosis and worsening the multiple sclerosis patients. The proposed hypothesis is that once we do angioplasty or stenting of these veins, and we improve the flow then these patients can benefit and this procedure is known as the liberation procedure. So in this procedure we do a complete evaluation, we have a team which involves a neurologist to focus on multiple sclerosis treatment, physiotherapist, neuro-radiologist, and of course I am the neuro-interventionist.


Liberation Procedure

So we do a complete neurology evaluation, brain Doppler study, neck Doppler study for the vein, MRI of the brain and MR venography and then the angiography for the brain veins- the jugular veins and the azygous veins and if we find narrowing’s, generally we treat them angioplasty and then of course we do a follow up, I mean we do Doppler to look for the improved flow, and we are following up these patients, whether they really benefit from this procedure or not.

There is tremendous interest in the patient community as well as the medical community in this disease entity. All of us know that we didn’t have a real definite treatment for multiple sclerosis and which strikes patients in their prime of their life.

Generally, it is a progressive disease. After studying many patients I feel that there seems to be some link between multiple sclerosis and in many patients we finding venous stenosis in them. So I think there is some link but we are also guarded in saying that definitely this is causing because I think we should wait for the more longer term studies.

But I think under a study protocol this can be offered to the patients of multiple sclerosis provided they understand that we are still awaiting long term trials and long term results will take few years for show up the long term results.”

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