ccsvi INTERVISTA al dott. GARGANO .avi

Uploaded by studiomedicogargano on 01.09.2011

INTERVIEWER: “Dr. Gargano, I'll ask you (some) questions, that (hopefully) can make the pathology you've been treating clearer.

(I'll also ask questions) about the intervention you do. What (exactly) is the C.C.S.V.I.?”
DR. GARGANO: “C.C.S.V.I., or Chronic Cerebro-Spinal Venous Insufficiency,
is a hemodynamic syndrome, consisting in the fact that the veins in the neck, and the azygos – the one that is in the chest – have problems.

They are not able to drain the blood, normally, from brain to heart.

(For this reason) there's an accumulation of metabolites inside the brain, that are toxic.
In particular, (we mean) iron.
The Chronic, Cerebro-Spinal, Venous Insufficiency, or (simply) C.C.S.V.I., is at the base of the medical theory of Prof. Zamboni.
He is a professor at (the University of) Ferrara, who, first, described this syndrome.
By now, (C.C.S.V.I.) is a clearly manifested pathology in all the world.
They (clinically) intervene (on it), everywhere.
There exists a great, and strict association, that links C.C.S.V.I. to some neuro-degenerative diseases of the (central) nervous system (CNS);
MS, in particular, (is one of them).
By now and for several years, we've already operated patients that suffer from both MS and C.C.S.V.I., for example,
and (we) are having very interesting responses”
INTERVIEWER: “How do patients get to the intervention, to treat this kind of pathology?”

DR. GARGANO: “(The patient) obtains the diagnosis of C.C.S.V.I.
thanks to a (medical) test, called Echo-Color-Doppler (ECD), which is a scan of the veins of the neck.
Moreover, we can (now) evaluate (the status) of (some) veins inside the brain, through a trans-cranial exam.
Such a scan is done with a particular instrument, and follows a specific protocol – which Prof. Zamboni teaches during his courses.

This test is not invasive (at all), and patients can repeat it as many times as they want.
Furthermore, it's fundamental, for it gives the diagnosis, and, so, takes to the intervention”
INTERVIEWER: “What about the intervention (itself)?”
DR. GARGANO: “The intervention is done under local anesthesia and consists of two (main) parts:
the "phlebographic" and the "interventionist" one.
Through a catheter, inserted into the venous system - via a femoral vein, in the groin -

we (go up and) reach the neck to do (there) a phlebography –
that is (to say): we light up and color the venous tree through the injection of contrast (dye).
(Then) we (are able to) see the stenosis – where the constrictions of the venous system are.
Soon after that – in very few seconds – we pull out the diagnostic catheter, to insert a small balloon.

When this balloon reaches the narrowest point (in the vein), it is made larger (and larger), through a manometric gun.

(By doing so) we solve the (problem) of the stenosis' pressure, and fix the flow”
INTERVIEWER: “What kind of causing relation exists between MS and C.C.S.V.I.?”

DR. GARGANO: “By now the correlation (between the two diseases) has been made clear.
I can tell you that many other neuro-degenerative pathologies exist, that, surely, are based on such a venous problem.

I'd not say there's a causing relation between C.C.S.V.I. and MS, or any other neuro-degenerative disease.

For the moment, I (only) say there's a contributory cause link (among them).
This is something no-one can deny there exists.
Treating the C.C.S.V.I. doesn't mean curing MS – disease of the Central Nervous System (CNS) that afflicts, above all, people aging 20-40 -

but certainly means alleviating many symptoms it causes”

INTERVIEWER: “You are talking about symptoms.
According to your studies, (and the responses to the intervention you've seen), what are the ones that decrease, objectively?”

DR. GARGANO: “I've operated already hundreds of patients, in this way.

According to my casuistry, the (most common) alleviated symptoms are chronic fatigue, and problems at the bladder.
The sensation of tiredness is (reported by many MS sufferers to be) devastating.
I can affirm in almost 90% of the cases (I've treated), it has (totally) disappeared, or has improved greatly, anyway.
The same can be said for (problems at) the bladder.
Many sufferers lamented urgency of urination or were even catheterized.
After the intervention, these patients told me they've had great improvements.
(As for) impotence in male patients, my casuistry tells me it disappeared, completely, in 47% of the cases.

This should not be underestimated.
Other symptoms, such as headaches, paresthesias – namely, lack of sensibility in both upper and lower arts –
and deambulation problems have greatly improved, as far as I can say”

INTERVIEWER: “What about the status of the patient after the operation?”
DR. GARGANO: “(As I said) the intervention is done under local anesthesia –
just a small quantity of anesthetic, in order to avoid the pain of the catheter insertion.
(After the intervention), the patient remains in clinic for just one night.
This is because we want to keep him/her under observation, even though we've never had problems.
After the usual control visits, the morning after, he/she can go home.
For me, it's important to define (develop and perfect) a protocol.
We did it in this center. Before operating patients, it's necessary to have a complete general (medical) history of them.

Before the intervention, our patients have neurological visits, and do behavioral-neuro-psychological tests, here.

In clinic, of course, they have to pass cardiac and anesthetic checks.

A month after they have had the intervention, and have gone back home,

I prefer to have patients here, again, for a neurological, psychological, and echo-color doppler (verify) test.

Basically, we now have a protocol that provides us with full information about the patient,
and let us know we are on the right track”