i'm a 73 y o general surgeon whose wife has had ms for 30 yrs. i've been trying to learn about this procedure and whether it might help her.
i've been reading your discussions about vascular techniques. i'm amazed at your technical knowledge as well as your overall grasp of the importance of acting TODAY. the discussions remind me of how our vascular rounds sounded back in the 60s when i was a resident.all the techniques were just evolving and great surgeons' opinions were basically the only information available. the problem was that no one really knew enough about what was the problem and therefore finding a solution was pretty tough. randomized, double blinded multi-institutional studies, IRBs, evidence based medicine were all 25 yrs in the future. I see that there are registries and a number of randomized studies underway but i can't find outcomes. can you direct me please?
Hello, welcome! We owe a lot of our technical knowledge to Dr. Sal Sclafani, of Brooklyn, who has maintained a q&a thread here for over a year.
The main published study on ccsvi endovascular treatment is Dr. Zamboni's from 2007. Dr. Siskin and Dr. Simka have published on the safety of endovascular treatment. Dr. Mehta and Dr. Hubbard and some others presented their preliminary findings at ISNVD this year, there were interesting abstracts, primarily showing improvements in fatigue. Dr. Dake had a publication recently on his initial patients from 2009. I don't have links handy at the moment. You might find them in the research sticky or post this as a new thread and ask. CCSVI.org has a compilation of publications too: www.ccsvi.org/index.php/advanced-topics ... smaterials
And the isnvd abstracts:
Dr. Sclafani will also soon be posting some of the presentations that were at the CCSVI symposium in July. Dr. Ponec's comes to mind as being of particular interest for outcomes of endovascular treatment but there were many presentation.