以下為波蘭醫師Dr. Marian Simka and Dr. Jacek Kostecki有關CCSVI手術的影片
CCSVI-1 這個影片當中感覺上氣球 (balloon catheter)似乎是由病人的腹部以下的部份進入，不知道是由那一條靜脈？
Why does MS occur?
- because blood going to the brain can not flow away from the brain which then causes the buildup of iron. Eventually inflammation occurs and this leads to MS
The surgery for the patients in this video cost about 12,000zl because they needed some additional tests to be performed. On average the operation should cost about 9,000zl. This cost is fully paid by the patient.
In the interview with the doctor, the doctor mentions that the operation is not easy but it is not the most difficult procedure in vascular surgery. Basically what they do is put in a stent into the internal jugular vein. 醫師提到此手術並不容易，但並不是靜脈手術中最困難的。基本上他們把支架放到頸靜脈中。
Then a question of why has such an operation not been done before was asked. The answer that the doctor gave was that no one before looked at the vein to be the problem until recently.
They also mentioned that in the procedure that they were doing that the problem was with the valve(靜脈瓣膜) in the vein which caused venous stasis. This usually is the problem with the lower extremities(下肢靜脈也有窄化的問題).
CCSVI-2 內部有對於手術中所使用的氣球和支架(stent)等 balloon catheter有詳細的說明
During the procedure the patient is fully conscious and is able to watch the procedure on the screen.
So far it's only been a couple of months of post-op observation but they see that the overall state of the patient improves. However it is still hard to say what the long term effects will be.目前手術後的並人在數個月之內都有進步。
Question: Is there a chance of total remission of the disease after the procedure?
Answer: patients from the states who had the operation performed in the early phase of the disease had almost complete remission of symptoms. When the operation is done in the late phase, total remission can't be expected but the patient does get better.
In Italy they did only balloon angioplasty but in 50% of the patients there was a restenosis of the vein this is why it is better to use the stent. The stent itself is very elastic and flexible.
Patient then mentions that for 2 months after the procedure he has to take heparin.