Diagnosis & Treatment
How do I schedule an appointment?
Setting up an appointment is easy. Please click the “Schedule Your Appointment box on the left, complete the “Intake Form” and click submit. The form will be e-mailed to our CCSVI clinical coordinator at CCSVI@aac-llc.com. You will be contacted within 24 – 48 hours and your procedure will be scheduled at your location of choice.
Is there a wait list for CCSVI surgery at your centers?
No. We have a number of physicians performing CCSVI procedures at the locations where we can treat patients and there is no significant wait for the procedure. Most patients are scheduled within 24-48 hours.
Another physician has treated me but I think my symptoms have come back. Can you help me?
Continuity of care can often benefit you and your overall health. However, if you want to transfer your care or seek a second opinion at our center, you may contact our office.
What tests do you require before I get treated?
An MRV is required prior to treatment. This procedure may be scheduled at our center on the morning of your consultation.
I’ve had an Ultrasound (doppler) done of my veins, do I still need an MRV?
Our physicians rarely accept an ultrasound only before treating you. Having an MRV before your procedure allows the physician the ability to document the size and function of your venous system as well as evaluate the iron stores within your central nervous system. This cannot be done with an ultrasound.
I’ve had an MRV at a location outside of your center but I would like be treated by American Access Care. Can you still treat me?
Most of our physicians prefer screening by ultrasound. Our technologists are well trained to perform this examination. It os much less expensive and usually provides sufficient information to decide to perform venography. However, the ultrasound must conform to the Zamboni protocol. If it does, not, we will need to perform that test properly.
Some of our physicians, notably those involved in the Hubbard trials will require MRI and MRV. Having an MRV before your procedure gives the physician the ability to document the size and function of your venous system as well as evaluate the iron stores within your central nervous system. This cannot be done with an ultrasound.
How can you perform the MRV in the morning and have the results in the afternoon?
Although it will take Dr. Haacke 2-4 weeks to review the data from your MRI, we do not need the complete Dr. Haacke protocol to determine whether or not you have blockages in your veins. The evaluation for blockages only takes a short period of time after the MRI is completed.
Do you require me to have the complete Dr. Haacke protocol when I have my MRV?
No. Only those who desire to volunteer for the Hubbard trials need an MRV. We
encourage all patients to have the complete Dr. Haacke protocol when undergoing
their MRV, but it is not required. We feel this will help in following the results from
your procedure and allow us to quantify any changes in your symptoms over time.
What does the typical procedure include?
The procedure includes the venographic evaluation of the jugular, azygos, vertebral, and lumbar veins; treatment typically involves venoplasty of the jugular veins and the azygos vein.
Are you using the ‘Zamboni Method’ for treating the veins?
Our technologists are certified in the Zamboni method to perform venograms on both of the jugular veins and the azygos vein to check for any blockages; our physicians then treat any abnormalities.
Do you use stents?
Stents are seldom needed, especially at the first treatment. All of our physicians are well trained in stent placement in the rare case a stent is needed.
Do you use ‘drug-eluding’ balloons or stents?
Drug-eluding stents and balloons have been in practice for many years for a variety of indications. In CCSVI, the cause of blockages inside the vein is completely different from heart disease and other artery diseases. The proper treatment of vein blockages in CCSVI is to tear the valve open which causes a permanent fix. The use of drug-eluding devices is contradictory to the etiology of the disease process in CCSVI and therefore is completely useless.
How long will I be in the area for the consultation and the procedure?
We can usually schedule any diagnostic tests such as an MRV or ultrasound screening on the morning of your consultation. The results can be reviewed with you in the afternoon and your procedure can take place on the following day.
Do I need to stay overnight in the hospital or is this an outpatient procedure?
The procedure is performed on an outpatient basis. You will check-in in the morning, undergo the procedure, and leave our center after you meet our discharge criteria.
How long do I need to stay in the area after my procedure?
We ask that you stay in the immediate area for 48 hours after the procedure.