According to MedPage, the rate of "major complications" in one retrospective series of 231 "CCSVI patients" with MS who underwent vascular intervention was 1.2% and consisted of venous thrombosis. So-called minor complications, however, weren't inconsequential and included "thrombosis or dissection after angioplasty requiring stent placement" at a rate of 10.5%. In a much smaller study of 24 patients, 1 case of inguinal bleeding, 2 cases of inguinal hematoma, and 1 case of retroperitoneal hematoma produced a complication rate of more than 16%—suggesting limited technical skills on the part of the interventionist(s). In a third series of 18 patients, 1 patient (>5%) experienced "rupture" of the internal jugular valve, which had to be treated with "balloon tamponade and stenting." (I don't imagine that calm reigned in the radiology suite that day.)
Do complications of inguinal bleeding, inguinal hematoma and retroperitoneal hematoma suggest limited technical skills on the part of the IRs? Would a rupture of the IJV necessarily lead to panic in the radiology suite? Is the guy writing this blog kinda an ***? Maybe, but he seems to be an educated ***. Worth reading, if only to see how everything can be interpreted from an anti-CCSVI perspective without the raving. Or at least, not excessive raving.