Tuesday, August 28, 2012 9:53 PM
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Ken Torbert
24th Annual Meeting of the American Venous Forum Orlando, FL, USA, 8–11 February 2012 The American Venous Forum unites authorities on all facets of venous disease, the pathophysiology of venous disease and its treatment. The goal of this meeting was to educate attendees about current and novel clinical strategies to effectively manage venous disease http://www.expert-reviews.com/doi/pdf/10.1586/erc.12.73 Chronic cerebrospinal venous insufficiency Molic et al. (Clinical Centre Nis, Nis, Serbia) discussed the Liberation procedure in the treatment of chronic cerebrospinal venous insufficiency – whether chronic cerebrospinal venous insufficiency related to brain congestive syndrome is rather than multiple sclerosis, highlighted chronic cerebrospinal venous insufficiency (CCSVI), which occurs due to compromised blood flow in the veins draining the central nervous system. This condition has been hypothesized to have a causal role in multiple sclerosis (MS). Currently, balloon angioplasty or stenting ‘liberation procedure’ has been the proposed treatment option for CCSVI in MS patients. Molic evaluated this procedure in patients with varying forms of MS with CCSVI. Patients were examined before the liberation procedure and at both 6 and 12 months postprocedure. Approximately 70% of treated patients showed an initial benefit, but more than 40% of the treated patients regained almost all of the preprocedural symptoms after 12 months. The author concluded that because blood biochemical parameters improved postprocedure, the liberation procedure had its greatest effects on relieving brain decongestion This study suggests that CCSVI is related to brain congestive syndrome rather than MS. http://www.expert-reviews.com/doi/pdf/10.1586/erc.12.73
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