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