Echocolor Doppler morpho-functional study of the jugulo-subclavian confluence in chronic cerebro-spinal venous insufficiency and multiple sclerosis patients

Luca Revelli, S Mandolesi, A d'Alessandro, AI Desogus, MM Ciccone, A Zito, I Stammegna, T Niglio, A Orsini, D Mandolesi, A d'Alessandro

Research output: Contribution to journalArticle

Abstract

OBJECTIVES: The aim of this work is to measure the mean diameter of the confluence jugulo-subclavian, the impact of different types of jugular confluences and the correlation between the types of confluences and the Valsalva maneuver (jugular reflux) in subjects with Chronic Cerebro-Spinal Venous Insufficiency (CCSVI) and Multiple Sclerosis.METHOD: We investigated by Echo-Color-Doppler (ECD) 103 subjects (67 F 36M) of mean age 45 +/- 12 years (a minimum of 22 to a maximum of 79 years, with a median of 44 and a modal value 42 years), mean EDSS of 4.7 and average disease duration of 12 years.RESULTS: The 103 right jugular veins investigated had an average diameter of 8.4 +/- 2.4 mm (minimum 4.0, maximum 14.9 mm; median 7.9; modal value 7.6 mm). Three form types were found: 56 cylindrical, 29 conical and 18 funnel. Valsalva maneuver was positive in 30 patients. The 103 left jugular investigated had an average diameter of 8.9 +/- 2.4 mm (minimum 2.8, maximum 14.4 mm; median of 8.8; modal value 8.7 mm). The form types were found: 42 cylindrical, 45 conical and 16 funnel. Valsalva maneuver was positive in 30 patients.CONCLUSIONS: The mean diameter of the jugular veins was 8.7 mm. Internal jugular veins with cylindrical morphology have a diameter smaller than other forms; this difference is statistically significant. The different morphology of the jugular vein confluence does not increase the possibility of a reflux because the positive Valsalva maneuvers are not statistically significant when compared to the various types.
Original languageEnglish
Pages (from-to)546-552
Number of pages7
JournalANNALI ITALIANI DI CHIRURGIA
Volume88
Publication statusPublished - 2017

Keywords

  • CCSVI
  • EchoColorDoppler Map
  • Jugulo-Subclavian Confluence Diameter

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